Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 22455 | NE |
NPI | 1003867466 |
---|---|
Provider Name | Lisa D Yosten |
First Address | Norfolk, NE 68701-4438 |
Second Address | Norfolk, NE 68701-4438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 07/03/2017 |