NPI 1124836150

James Dedrickson

Practitioner Contractor Lincoln, NE

Practice location

Address: 1431 Makers St, Lincoln, NE 68521-3401
Phone: (402) 320-2174
Mailing address: 304 Riverview St, Leshara, NE 68064-1514

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1124836150
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2024
Record last updated: 23 Dec 2024

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.