Healthcare Provider Details

I. General information

NPI: 1528077880
Provider Name (Legal Business Name): LINCOLN NEPHROLOGY & HYPERTENSION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7441 O ST STE 304
LINCOLN NE
68510-2466
US

IV. Provider business mailing address

7441 O ST STE 304
LINCOLN NE
68510-2466
US

V. Phone/Fax

Practice location:
  • Phone: 402-484-5600
  • Fax: 402-484-5630
Mailing address:
  • Phone: 402-484-5600
  • Fax: 402-484-5630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: LESLIE SPRY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 402-484-5600