Individual
DR. LORANCE H. NEWBURN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1760 COUNTY ROAD J, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1402
Mailing address
1760 COUNTY ROAD J, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20174
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00162
BCBS OF NEBRASKA
NE
01
—
010330
UNITEDHEALTHCARE
NE
01
—
8330
MIDLANDS CHOICE
NE
Enumeration date
11/03/2006
Last updated
08/13/2019
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