Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Maternal Newborn |
163WM0102X | |||
Case Management |
251B00000X | |||
Community Health |
163WC1500X | |||
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency | |
Public Health, State or Local |
261QP0905X |
| NPI # | 1972262129 |
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| LBN Legal business name | COUNTY OF LINCOLN | ||||
| Authorized official | LESA WAGNER - (CREDENTIALING SPECIALIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/15/2021 | ||||
| Last updated | 02/24/2026 - About 3 months ago | ||||
| Identifiers |
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COUNTY OF LINCOLN
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