Healthcare Provider Details

I. General information

NPI: 1346828779
Provider Name (Legal Business Name): MICHAEL ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 SOUTH ST STE 200
LINCOLN NE
68506-2116
US

IV. Provider business mailing address

5440 SOUTH ST STE 200
LINCOLN NE
68506-2116
US

V. Phone/Fax

Practice location:
  • Phone: 402-465-1900
  • Fax: 402-465-1940
Mailing address:
  • Phone: 402-465-1900
  • Fax: 402-465-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number3126
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: