Provider First Line Business Practice Location Address:
15TH AND U STREETS
Provider Second Line Business Practice Location Address:
213 UNIVERSITY HEALTH CENTER
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68588-0618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-472-7450
Provider Business Practice Location Address Fax Number:
402-472-8010
Provider Enumeration Date:
11/21/2006