Healthcare Provider Details

I. General information

NPI: 1649465311
Provider Name (Legal Business Name): LEE T THURBER, M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 S 70TH ST SUITE 200
LINCOLN NE
68510-4293
US

IV. Provider business mailing address

1101 S 70TH ST SUITE 200
LINCOLN NE
68510-4293
US

V. Phone/Fax

Practice location:
  • Phone: 402-486-3132
  • Fax: 402-486-3187
Mailing address:
  • Phone: 402-486-3132
  • Fax: 402-486-3187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number22791
License Number StateNE

VIII. Authorized Official

Name: LEE THURBER
Title or Position: M.D.
Credential: M.D.
Phone: 402-486-3132