| NPI | 1124559901 |
|---|---|
| Doing Business As | FULLERTON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JULIE LACY Interim CEO 402-946-3015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-11-06 |