Active NPI
Lisa I Mansur MD PC
- Pulmonary Disease Physician
- Lincoln, NE
National Provider Identifier
1083640437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20419
- Legal business name
- LISA I MANSUR MD PC
- Practice address
- 3401 Plantation Dr
Suite 160
Lincoln, NE 68516-4712 - Phone
- (402) 328-8863
- Fax
- (402) 328-8078
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwight Bruce Mansur
- Title
- Administrator
- Phone
- (402) 328-8863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 20419 | NE | Primary |
Addresses
Primary practice location
3401 Plantation Dr
Suite 160
Lincoln, NE 68516-4712
Mailing address
3401 Plantation Dr
Suite 160
Lincoln, NE 68516-4712
Phone (402) 328-8863
Other names 1
- Palliative Care Services of Nebraska
National Provider Directory
National Provider DirectoryLocations
1715 26th St
Central City, NE 68826
Phone (308) 946-3015
3640 S 6th St
Ste 6
Lincoln, NE 68502
Phone (402) 499-1914
222 Lincoln Ave
York General Hospital
York, NE 68467
Phone (402) 362-0420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lincoln, NE
- NPI 1700151651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377820800000",
"number": "1083640437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PLANTATION DR",
"address_2": "SUITE 160",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164712",
"telephone_number": "402-328-8863",
"fax_number": "402-328-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PLANTATION DR",
"address_2": "SUITE 160",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164712",
"telephone_number": "402-328-8863",
"fax_number": "402-328-8078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA I MANSUR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2013-08-30",
"status": "A",
"authorized_official_last_name": "MANSUR",
"authorized_official_first_name": "DWIGHT",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-328-8863"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NE",
"license": "20419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palliative Care Services of Nebraska",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.