Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 15459 | NE |
N | 207ND0900X | Dermatopathologist | 15459 | NE |
N | 207NS0135X | Procedural Dermatology | 15459 | NE |
NPI | 1043218225 |
---|---|
Provider Name | Margaret K Sutton |
First Address | Lincoln, NE 68506-0068 |
Second Address | Lincoln, NE 68516-5332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 20/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
070013362 | RAILROAD MEDICARE (01) | NE |
47065843713 | (05) | NE |
D05138 | (02) |