NPI | 1003091497 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN D LAUCK President 402-373-4341 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE 1040) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110153) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2010-03-29 |