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General NPI Number Information
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NPI Number | 1477110948
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Entity Type | Individual
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Provider Name | LUKE LANSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 680 E FREMONT MEDICAL PARK DR
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City | FREMONT
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State | NE
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Zip | 68025-2309
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Country | US
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Telephone | 402-815-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 680 E FREMONT MEDICAL PARK DR
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City | FREMONT
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State | NE
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Zip | 68025-2309
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Country | US
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Telephone | 402-815-7120
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Fax | 402-941-1155
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34877
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License Number State | NE
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