Provider Demographics
NPI:1083622450
Name:PLACHY, LEWIS W (MD)
Entity Type:Individual
Prefix:
First Name:LEWIS
Middle Name:W
Last Name:PLACHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6971
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-0971
Mailing Address - Country:US
Mailing Address - Phone:402-421-3240
Mailing Address - Fax:402-423-0739
Practice Address - Street 1:3901 PINE LAKE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5497
Practice Address - Country:US
Practice Address - Phone:402-421-3240
Practice Address - Fax:402-423-0739
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20206207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04087OtherBCBS
IA2734293Medicaid
NE35446OtherBCBS
NE900469OtherCOVENTRY
KS100383840CMedicaid
NE04-00766OtherUHC
NE470780857 13Medicaid
11102OtherMIDLANDS CHOICE
NE1735728OtherFIRST HEALTH
IA0734293Medicaid
NE91182900813Medicaid
278864Medicare PIN
NE04-00766OtherUHC
IA0734293Medicaid
NE098621001Medicare PIN
IA2734293Medicaid