Family Life Clinic

NPI 1174691935 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1174691935
Enumeration Date 12/01/2006
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WANDA L WANDA
Position OWNER
Phone (308) 324-5623
Fax (308) 324-5624
Practice Location
207 EAST 6TH
LEXINGTON NE, 68850, US
Phone (308) 324-5623
Fax (308) 324-5624
Business Location
207 EAST 6TH
PO BOX 714
LEXINGTON NE, 68850, US
Phone (308) 324-5623
Fax (308) 324-5624
Toxanomy
Taxonomy Code 106H00000X
License State Nebraska
License Number 72
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According to our database, Family Life Clinic NPI is 1174691935, taxonomy code is 106H00000X and license number is 72, license state is located at Nebraska. Family Life Clinic physically located at 207 East 6th, Lexington NE, 68850. NPI Number 1033115704 has the healthcare provider type.

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1174691935 NPI number is provided on an as is basis without warranty of any kind. 1174691935 is maintained by the National Plan & Provider Enumeration System. The contents of Family Life Clinic are for informational purposes only.