NPI 1104242437
Nebraska Lower Extremity Surgery Group, LLC
Practice location
- Address
- 18010 R Plz Suite 106, Omaha, NE 68135-1923
- Phone
- (402) 991-8999
- Fax
- (402) 331-6537
- Mailing address
- 2705 Samson Way, Bellevue, NE 68123-4307
Authorised official
- Name
- Chad Summy
- Title
- Owner
- Phone
- (402) 991-8999
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1104242437
- Entity type
- Organization
- NPI issued
- 11 Mar 2014
- Record last updated
- 28 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.