Provider Demographics
NPI:1770670234
Name:MERCIER, LONNIE RICHARD (MD)
Entity Type:Individual
Prefix:MR
First Name:LONNIE
Middle Name:RICHARD
Last Name:MERCIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LONNIE
Other - Middle Name:
Other - Last Name:MERCIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:17030 LAKESIDE HILLS PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2396
Mailing Address - Country:US
Mailing Address - Phone:402-399-8550
Mailing Address - Fax:402-399-8455
Practice Address - Street 1:7710 MERCY RD
Practice Address - Street 2:STE 224
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124
Practice Address - Country:US
Practice Address - Phone:402-399-8550
Practice Address - Fax:402-399-8455
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11856207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE03171OtherBCBS NEBRASKA
NE470643092Medicaid
NE47063010113Medicaid
NE03171OtherBCBS NEBRASKA
NE280932Medicare PIN
NEP00371313Medicare PIN