Individual
DR. MARY LOU FLEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14421 DUPONT CT, OMAHA, NE 68144-2100
(402) 955-7222
(402) 955-7250
Mailing address
8401 W DODGE RD, SUITE 280, OMAHA, NE 68114-3451
(402) 955-6877
(402) 955-6880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15653
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31392
BCBS
NE
05
—
47068937211
—
NE
01
—
531
MIDLANDS CHOICE
NE
01
—
91079
BCBS
IA
05
—
942110
—
IA
Enumeration date
09/13/2006
Last updated
07/08/2007
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