MEDICARE: CHRISTINA LITA UHL

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	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1316572415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LITA UHL

Provider Business Mailing Address
First Line	:	1010 N 102ND ST STE 300
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-2122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 N 102ND ST STE 300
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-2122
Country	:	US
Telephone Number	:	866-633-3548
Fax Number	:

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

Provider Enumeration Date	:	03/09/2020
Last Update Date	:	03/09/2020

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Directions to “ CHRISTINA LITA UHL ” Practice Location

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