Provider Demographics
NPI:1053300244
Name:MCGILL, LORRIE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:LORRIE
Middle Name:LYNN
Last Name:MCGILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1502 S WASHINGTON ST
Mailing Address - Street 2:STE 201
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3136
Mailing Address - Country:US
Mailing Address - Phone:402-505-9657
Mailing Address - Fax:402-505-9658
Practice Address - Street 1:1502 S WASHINGTON ST
Practice Address - Street 2:STE 201
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3136
Practice Address - Country:US
Practice Address - Phone:402-505-9657
Practice Address - Fax:402-505-9658
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2023-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE20633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025060800Medicaid
NE10025060800Medicaid
NE277392Medicare ID - Type Unspecified