Healthcare Provider Details

I. General information

NPI: 1013222082
Provider Name (Legal Business Name): LINCOLN MEDICAL EDUCATION PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 VALLEY RD
LINCOLN NE
68510-4855
US

IV. Provider business mailing address

4600 VALLEY RD
LINCOLN NE
68510-4855
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-4581
  • Fax: 402-483-2882
Mailing address:
  • Phone: 402-483-4581
  • Fax: 402-483-2882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP766
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP8796
License Number StateNE

VIII. Authorized Official

Name: DR. ALAN LINDERMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 402-483-4581