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Contact Information

NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
1301 N 72ND ST
OMAHA, NE68114-1903
 Phone: 402-991-8999
 Fax: 402-331-6537
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NEBRASKA LOWER EXTREMITY SURGERY GROUP LLC · (Female)

NPI Number 1114343449
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2014
Last updated 08/28/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NE License # 289
  • NE Medicaid 10026123800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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