Healthcare Provider Details

I. General information

NPI: 1598785214
Provider Name (Legal Business Name): JOSEPH LAVERNE HRANAC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S 70TH ST STE 305
LINCOLN NE
68510-2471
US

IV. Provider business mailing address

575 S 70TH ST STE 305
LINCOLN NE
68510-2471
US

V. Phone/Fax

Practice location:
  • Phone: 402-434-5600
  • Fax: 402-434-5601
Mailing address:
  • Phone: 402-434-5600
  • Fax: 402-434-5601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number16663
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: