Mansur, Lisa I
Mansur, Lisa I is an sole proprietor health care provider with primary practice located at 3401 Plantation Dr Suite 160, Lincoln NE 68516-4712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Mansur, Lisa I can be contacted via phone (402) 328-8863.Contact Information
Primary practice address
3401 Plantation Dr Suite 160
Lincoln NE 68516-4712
Phone: (402) 328-8863
Fax: (402) 328-8078
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 20419 | Nebraska |
Profile Details
NPI number | 1558300830 |
---|---|
LBN Legal business name | Mansur, Lisa I |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 5th, 2006 |
Last updated | Feb 26th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558300830 | NPPES |
Nebraska | MEDICAID | 10025031300 | |
Nebraska | Other | P00057124 | |
Nebraska | Other | P00057124 |
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