MEDICARE: ANNE LUCILE O'KEEFE M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	22407	NE

General Provider Information

NPI Number	:	1831349265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE LUCILE O'KEEFE M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1819 FARNAM ST
Second Line	:	ROOM 401
City	:	OMAHA
State	:	NE
Zip	:	68183-1000
Country	:	US
Telephone Number	:	402-444-7213
Fax Number	:	402-444-6267

Provider Business Practice Location Address
First Line	:	1819 FARNAM ST
Second Line	:	ROOM 401
City	:	OMAHA
State	:	NE
Zip	:	68183-1000
Country	:	US
Telephone Number	:	402-444-7213
Fax Number	:	402-444-6267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	09/22/2008

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