Provider Demographics
NPI:1083049746
Name:WRIGHT TURN LANE PC
Entity Type:Organization
Organization Name:WRIGHT TURN LANE PC
Other - Org Name:URGENT CARE OF WAHOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:PAC
Authorized Official - Phone:402-277-7054
Mailing Address - Street 1:567 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-1280
Mailing Address - Country:US
Mailing Address - Phone:402-277-7054
Mailing Address - Fax:402-991-9052
Practice Address - Street 1:567 W 15TH ST
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1280
Practice Address - Country:US
Practice Address - Phone:402-277-7054
Practice Address - Fax:402-991-9052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty