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Provider Detail for 1245692581
INNOVATIVE PAIN & SPINE SPECIALISTS
Mailing Address:
7121 STEPHANIE LN STE 102
LINCOLN, NE 68516-5352
Phone: 970-663-2742
Fax: 970-342-2093
Physical Address:
7121 STEPHANIE LN STE 102
LINCOLN, NE 68516-5359
Phone: 402-413-5010
Authorized Official:
KEELI CHICOINE
ADMINISTRATOR
402-413-5010
Taxonomy
Allopathic & Osteopathic Physicians/Pain Medicine, Interventional Pain Medicine
(Primary Specialty)
Last Update: 11/15/2022
Provider Enrollment, Chain and Ownership System (PECOS)
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