Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 29654 | NE |
NPI | 1013141076 |
---|---|
Provider Name | Sara Elizabeth Hargreaves |
First Address | Lincoln, NE 68506-1274 |
Second Address | Lincoln, NE 68506-1276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2009 |
Last Update Date | 28/11/2016 |