Search › Nebraska › 101YA0400X
Tengorn Phaisan
NPI 1548479157 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1700 S 24th St
Lincoln, NE 68502 - Phone
- (402) 435-2273
- Organisation at this address
- Summit Care And Wellness
Summit Care And Wellness Treatment And Counseling, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-27
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