MEDICARE: DR. RAYMOND MICHAEL TAMBURRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	37188	NE

General Provider Information

NPI Number	:	1013284827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND MICHAEL TAMBURRO MD

Provider Business Mailing Address
First Line	:	1310 ELBA AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68521-2044
Country	:	US
Telephone Number	:	234-600-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 ELBA AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68521-2044
Country	:	US
Telephone Number	:	234-600-0777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2011
Last Update Date	:	02/11/2026

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