Healthcare Provider Details

I. General information

NPI: 1649792003
Provider Name (Legal Business Name): LINCOLN MEDICAL EDUCATION PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 07/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 VALLEY ROAD STE 200
LINCOLN NE
68510-4882
US

IV. Provider business mailing address

4600 VALLEY RD STE 200
LINCOLN NE
68510-4882
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-4571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SABRINA CERNY
Title or Position: PROGRAM DIRECTOR
Credential: MD
Phone: 402-483-4571