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Individual

LONNIE DAVID VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-1346
(402) 559-1010
(402) 559-1011
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5931
NE
2085R0202X
Diagnostic Radiology Physician
Primary
27875
NE

Other

Enumeration date
08/27/2008
Last updated
11/08/2018
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