Basic Information
| Provider Information | |||||||||
| NPI: | 1902829989 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEPINSKI | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | JOHN | ||||||||
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| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5500 PINE LAKE RD | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685163389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024898888 | ||||||||
| FaxNumber: | 4024211945 | ||||||||
| Practice Location | |||||||||
| Address1: | 5500 PINE LAKE RD | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685163389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024898888 | ||||||||
| FaxNumber: | 4024211945 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 01/06/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 18397 | NE | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 100141860A | 05 | KS | MEDICAID | 1255 | 01 | MIDLANDS CHOICE | OTHER | 770720 | 05 | SD | MEDICAID | 04161 | 01 | BLUE CROSS BLUE SHIELD | OTHER | 1900040 | 01 | UNITED HEALTH CARE | OTHER |