Lakeside Orthopedics Pc

LBN: Lakeside Orthopedics Pc
Lakeside Orthopedics Pc is an health care organization with primary practice located at 16909 Lakeside Hills Ct Suite 208, Omaha NE 68130-4664. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Lakeside Orthopedics Pc can be contacted via phone (402) 758-5690, or through Mickelson, Nancy J via phone (402) 758-5690.

Contact Information

Primary practice address
16909 Lakeside Hills Ct Suite 208 Omaha NE 68130-4664
Fax: (402) 758-5699
Website:
Authorized official contact:
Name: Mickelson, Nancy J

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X Nebraska

Profile Details

NPI number 1417149741
LBN Legal business name Lakeside Orthopedics Pc
DBA Doing business as
Authorized official Mickelson, Nancy J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2007
Last updated Nov 14th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417149741 NPPES
Nebraska MEDICAID 10025437200

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