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Trevor Polivka

NPI 1386175636 · on the registry since 2017

Practice

Address
8100 N 1st St
Lincoln, NE 68531
Phone
(402) 937-2662

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-29

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