NPI 1578765087

Fountain Foot Clinic PC

Organisation Podiatrist Lincoln, NE

Practice location

Address: 5835 Vine St, Lincoln, NE 68505-2847
Phone: (402) 466-5677
Mailing address: 5835 Vine St PO Box 5505, Lincoln, NE 68505-2847

Authorised official

Name: Dale Meier Fountain
Title: Owner
Phone: (402) 466-5677

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 218 (NE)

Other Podiatrist providers in Nebraska →

Registry record

NPI: 1578765087
Entity type: Organization
NPI issued: 5 Jun 2007
Record last updated: 22 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.