Individual
JACOB D VAN LANINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4920 N 26TH ST STE 100, LINCOLN, NE 68521-4748
(402) 434-5361
Mailing address
1651 N 86TH ST STE 100, LINCOLN, NE 68505-3719
(402) 484-7117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4483
NE
Other
Enumeration date
05/31/2023
Last updated
06/01/2023
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