Organization · Type 2 NPI

Pine Lake Health LLC

Family Medicine Physician · Waverly, NE

NPI number 1780814475 Active

Practice location

13220 Callum Dr, Ste 4
Waverly, NE 68462-2561

Fax (402) 423-4201

Mailing address

2611 S 70th St
Lincoln, NE 68506-2960

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1780814475

Pine Lake Health LLC's National Provider Identifier is 1780814475, issued on Jul 16, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waverly, NE. The record was last updated on Aug 30, 2022.