Provider Demographics
NPI:1912958166
Name:HOODY & LANSPA FAMILY PRACTICE, PC
Entity Type:Organization
Organization Name:HOODY & LANSPA FAMILY PRACTICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:ZAWAIDEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-556-9220
Mailing Address - Street 1:4951 CENTER ST
Mailing Address - Street 2:#100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3251
Mailing Address - Country:US
Mailing Address - Phone:402-556-9220
Mailing Address - Fax:402-558-1313
Practice Address - Street 1:4951 CENTER ST
Practice Address - Street 2:#100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3251
Practice Address - Country:US
Practice Address - Phone:402-556-9220
Practice Address - Fax:402-558-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========13Medicaid
086255Medicare ID - Type Unspecified