PINE LAKE HEALTH LLC NPI 1417908666

NPI Information

PINE LAKE HEALTH LLC is a family medicine in Lincoln, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PINE LAKE HEALTH LLC NPI is 1417908666. The provider is registered as an organization entity type.

The provider's business location address is:

2611 S 70TH ST
LINCOLN, NE
ZIP 68506-960
Phone: (402) 423-4200
Fax: (402) 423-4201

The provider's authorized official is Matthew M Glenn .
The authorized official title is President and has the following contact phone number (402) 423-4200.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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