| NPI | 1861027369 |
|---|---|
| Doing Business As | SOUTH LINCOLN MEDICAL SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KARL E SUNDBERG CEO 307-877-4401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |