Organization
MD WEST ONE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HILL (BUSINESS MANAGER)
(402) 390-4887
Entity
Organization
Contact information
Practice address
17030 LAKESIDE HILLS PLZ STE 200, OMAHA, NE 68130-2396
(402) 399-8550
(402) 399-8455
Mailing address
7710 MERCY RD STE 224, OMAHA, NE 68124-2346
(402) 361-5225
(402) 391-1533
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
07/06/2020
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