CODDINGTON MEDICAL FAMILY PRACTICE NPI 1205264231

NPI Information

CODDINGTON MEDICAL FAMILY PRACTICE is a primary care clinic center in Lincoln, NE. CODDINGTON MEDICAL FAMILY PRACTICE NPI is 1205264231. The provider is registered as an organization entity type.

The provider's business location address is:

1336 WEST A STREET, SUITE A
LINCOLN, NE
ZIP 68522
Phone: (402) 742-2502

The provider's authorized official is Timothy J Sullivan .
The authorized official title is President and has the following contact phone number (402) 742-2502.

The CLIA number assigned to this NPI record is 28D2068060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2013 and was last updated on 10/30/2013.

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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