Pine Lake Health LLC

NPI #1417908666 in Lincoln, Nebraska

Provider Information

NPI Number
1417908666
Entity Type
Organization
Organization Name
Pine Lake Health LLC
Primary Specialty
Family Medicine
Enumeration Date
May 12, 2006
Last Updated
Aug 30, 2022

Practice Location

Address
2611 S 70TH ST
ZIP Code
68506-2960
Phone
(402) 423-4200

Authorized Official

Name
MR. MATTHEW M GLENN, MD
Title
PRESIDENT
Phone
(402) 423-4200

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Physician Assistant
Nurse Practitioner
Family Medicine

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