| Praesidium Medical LLC | |
|
200 S 21st St Ste 400a Lincoln NE 68510-1044 | |
| (816) 668-8771 | |
| Not Available |
| Full Name | Praesidium Medical LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 200 S 21st St Ste 400a, Lincoln, Nebraska |
| Authorized Official Name and Position | Robert James Novak (PHYSICIAN) |
| Authorized Official Contact | 8166688771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Praesidium Medical LLC 9661 Heather Ln Manhattan KS 66502-1884 Ph: (816) 668-8771 | Praesidium Medical LLC 200 S 21st St Ste 400a Lincoln NE 68510-1044 Ph: (816) 668-8771 |
| NPI Number | 1225957707 |
|---|---|
| Provider Enumeration Date | 07/10/2026 |
| Last Update Date | 07/10/2026 |
| Certification Date | 07/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225957707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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