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NPI 1275411530 · on the registry since 2025
Practice
- Address
- 4040 N 58th St
Lincoln, NE 68507 - Phone
- (402) 419-3297
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Personal Care Attendant
3747P1801X
- Sex
- Male
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska