Provider Demographics
NPI:1811098841
Name:LINCOLN OB-GYN P.C.
Entity type:Organization
Organization Name:LINCOLN OB-GYN P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-483-7641
Mailing Address - Street 1:9110 ANDERMATT DR STE 2
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-6701
Mailing Address - Country:US
Mailing Address - Phone:402-483-7641
Mailing Address - Fax:402-483-0527
Practice Address - Street 1:9110 ANDERMATT DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-9639
Practice Address - Country:US
Practice Address - Phone:402-483-7641
Practice Address - Fax:402-483-0527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty