Provider Demographics
NPI:1003266560
Name:LINCOLN HOSPITALIST ASSOCIATES, LLC
Entity Type:Organization
Organization Name:LINCOLN HOSPITALIST ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABBIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FOUGERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-483-8613
Mailing Address - Street 1:1500 S. 48TH STREET
Mailing Address - Street 2:SUITE 708
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3418
Mailing Address - Country:US
Mailing Address - Phone:402-483-8617
Mailing Address - Fax:402-483-8698
Practice Address - Street 1:1500 S. 48TH STREET
Practice Address - Street 2:SUITE 708
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3418
Practice Address - Country:US
Practice Address - Phone:402-483-8617
Practice Address - Fax:402-483-8698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty