Healthcare Provider Details

I. General information

NPI: 1033322185
Provider Name (Legal Business Name): LINCOLN PULMONARY & CRITICAL CARE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S 16TH ST SUITE 405
LINCOLN NE
68502-3796
US

IV. Provider business mailing address

2222 S 16TH ST SUITE 405
LINCOLN NE
68502-3796
US

V. Phone/Fax

Practice location:
  • Phone: 402-474-3704
  • Fax: 402-474-3748
Mailing address:
  • Phone: 402-474-3704
  • Fax: 402-474-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: PAT A BURNS
Title or Position: OFFICE MANAGER
Credential:
Phone: 402-474-3704