Healthcare Provider Details

I. General information

NPI: 1104105998
Provider Name (Legal Business Name): LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 O STREET
LINCOLN NE
68510
US

IV. Provider business mailing address

3131 O STREET
LINCOLN NE
68510
US

V. Phone/Fax

Practice location:
  • Phone: 402-441-8000
  • Fax: 402-441-6992
Mailing address:
  • Phone: 402-441-8000
  • Fax: 402-441-6229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberHC035
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA D. LOPEZ
Title or Position: HEALTH DIRECTOR
Credential: MSN, RN
Phone: 402-441-8000