Lincoln Performance and Sports Medicine, LLC

NPI #1891341467 in Lincoln, Nebraska

Provider Information

NPI Number
1891341467
Entity Type
Organization
Organization Name
Lincoln Performance and Sports Medicine, LLC
Primary Specialty
Chiropractor
Enumeration Date
Aug 10, 2019
Last Updated
Dec 3, 2020

Practice Location

Address
1220 ARIES DR
ZIP Code
68512-9632
Phone
(402) 480-7070

Authorized Official

Name
DR. TYLER MARK IDEUS, D.C.
Title
PHYSICIAN
Phone
(402) 239-2298

Specialties & Taxonomy Codes

Specialty
Chiropractor

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