Healthcare Provider Details

I. General information

NPI: 1831021518
Provider Name (Legal Business Name): LUKE ROBERT HAMANN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S 48TH ST STE 400
LINCOLN NE
68506-1278
US

IV. Provider business mailing address

9310 NORTHERN SKY RD
LINCOLN NE
68505-1003
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-8500
  • Fax:
Mailing address:
  • Phone: 402-202-6840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3451
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: