NPI 1134205412

Timothy Wayne Lebsack

Practitioner Dentist Hastings, NE

Practice location

Address: 2628 W 2nd St, Hastings, NE 68901-4606
Phone: (402) 462-5546
Fax: (402) 462-6998

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4461 (NE)

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Registry record

NPI: 1134205412
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2006
Record last updated: 8 Jul 2007

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.