Organization Active NPI

Lisa I Mansur MD PC

  • Pulmonary Disease Physician
  • Lincoln, NE
National Provider Identifier
1083640437
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20419 Issued in NE
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

Updated by the provider on Aug 30, 2013

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.