Provider Demographics
NPI:1235468778
Name:THE EXPRESS CLINIC LLC
Entity Type:Organization
Organization Name:THE EXPRESS CLINIC LLC
Other - Org Name:WEST LINCOLN FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADM.
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-423-0396
Mailing Address - Street 1:PO BOX 23048
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68542-3048
Mailing Address - Country:US
Mailing Address - Phone:402-421-0161
Mailing Address - Fax:402-421-0163
Practice Address - Street 1:201 CAPITOL BEACH BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-1645
Practice Address - Country:US
Practice Address - Phone:402-435-0228
Practice Address - Fax:402-435-0229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE EXPRESS CLINIC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-11
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty