Randall Scott Lienemann PHYSICIAN ASST PA C

NPI 1629025879 - Physician Assistant - 363AM0700X

NPI Details
NPI 1629025879
Gender Male
Enumeration Date 05/30/2006
Last Updated 10/27/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6901 N 72ND STREET
OMAHA NE, 68122-1799, US
Phone (402) 572-2225
Fax
Business Location
PO BOX 31058
OMAHA NE, 68131-0058, US
Phone (866) 898-7142
Fax (616) 975-9824
Toxanomy
Taxonomy Code 363AM0700X
License State Nebraska
License Number 638
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According to our database, Randall Scott Lienemann PHYSICIAN ASST PA C NPI is 1629025879, taxonomy code is 363AM0700X and license number is 638, license state is located at Nebraska. Randall Scott Lienemann PHYSICIAN ASST PA C physically located at 6901 N 72nd Street, Omaha NE, 68122-1799. NPI Number Randall Scott Lienemann PHYSICIAN ASST PA C has the Individual type.

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1629025879 NPI number is provided on an as is basis without warranty of any kind. 1629025879 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Scott Lienemann PHYSICIAN ASST PA C are for informational purposes only.