Search › Nebraska › 106S00000X
Justin Liedke
NPI 1790519130 · on the registry since 2024
Practice
- Address
- 6420 S 193rd Ave Ste 100
Omaha, NE 68135 - Phone
- (574) 387-4313
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
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