Organization
DERMATOLOGY ASSOCIATES OF LINCOLN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANEL Z FRICKE MHA (PRACTICE ADMINISTRATOR)
(531) 500-1729
Entity
Organization
Contact information
Practice address
6969 SOUTH ST, LINCOLN, NE 68506-2835
(402) 413-7460
(402) 413-7486
Mailing address
6969 SOUTH ST, LINCOLN, NE 68506-2835
(402) 413-7460
(402) 413-7486
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026824600
—
NE
01
—
EA0767
RAILROAD MEDICARE PTAN
NE
Enumeration date
01/29/2020
Last updated
09/26/2024
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