| NPI | 1760563373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK K LEWIS President 402-393-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 10515) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 778) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-09-09 |