Doctor Name: | MEGAN JEAN DEKAM |
NPI Number: | 1124290077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 4501 S 70th St Ste 130 Lincoln, NE - 685164276 |
Business Phone Number: | 4024844940 |
Business Fax Number: | |
Mailing Address: | 2000 Q St Ste 500, LINCOLN |
State: | NE |
Postal Code: | 685033610 |
Phone Number: | 4024210904 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 02/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |