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PINE LAKE IMRT
NPI 1174674691
Clinic/Center - Oncology, Radiation in Lincoln, NE

Active since January 12, 2007
3901 PINE LAKE RD, SUITE 111, LINCOLN, NE 68516(402) 481-6090 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pine Lake Imrt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE LAKE IMRT (NPI 1174674691) is a healthcare organization registered as an oncology, radiation in Lincoln, Nebraska and active in the NPI registry since January 2007. The organization lists Bennett Barrios, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1174674691
Entity TypeOrganization
Primary Taxonomy261QX0203X
Legal Business NamePINE LAKE INTENSITY-MODULATED
Location Address3901 PINE LAKE RD, SUITE 111Lincoln, NE 68516-5497
Mailing Address3901 Pine Lake Rd, Suite 111Lincoln, NE 68516-5497 · (402) 481-6090
Phone(402) 481-6090
Organization SubpartNo
Authorized OfficialBennett BarriosManaging Member · (402) 327-7300
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 11, 2009
✔ NPI 1174674691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities
Taxonomy Code261QX0203X
3901 PINE LAKE RD, Lincoln, NE 68516
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Other Names 1

Doing Business AsPine Lake Imrt

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT CHARLES RASMUSSEN MD
Internal Medicine
3901 PINE LAKE RD, SUITE 220
LINCOLN, NE 68516
Lancaster County (402) 421-3240
ERIC M WILLIAMS MD
Radiology (Diagnostic Radiology)
3901 PINE LAKE RD, SUITE 300
LINCOLN, NE 68516
Lancaster County (402) 420-3500
LEWIS W PLACHY MD
Internal Medicine
3901 PINE LAKE RD, SUITE 220
LINCOLN, NE 68516
Lancaster County (402) 421-3240
KRISTINA ANN TYNDALL APRN
Nurse Practitioner (Acute Care)
3901 PINE LAKE RD, SUITE 120
LINCOLN, NE 68516
Lancaster County (402) 420-1212
ROBYN FLAMMANG
Hearing Instrument Specialist
3901 PINE LAKE RD, #217
LINCOLN, NE 68516
Lancaster County (402) 875-5444
ARTHRITIS CENTER OF NEBRASKA
Internal Medicine (Rheumatology)
3901 PINE LAKE RD, SUITE 120
LINCOLN, NE 68516
Lancaster County (402) 420-1212
JASON ROBERT POTTS MD
Internal Medicine
3901 PINE LAKE RD, SUITE 220
LINCOLN, NE 68516
Lancaster County (402) 421-3240
GEROLD J STARK MD
Internal Medicine
3901 PINE LAKE RD, SUITE 220
LINCOLN, NE 68516
Lancaster County (402) 421-3240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Lake Intensity-Modulated's NPI number?

The NPI number for Pine Lake Intensity-Modulated is 1174674691. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Pine Lake Imrt.

Where is Pine Lake Intensity-Modulated located?

Pine Lake Intensity-Modulated is located at 3901 Pine Lake Rd Suite 111, Lincoln, NE 68516. The listed phone number is (402) 481-6090.

What is Pine Lake Intensity-Modulated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.

When was this NPI record last updated?

The NPPES record for Pine Lake Intensity-Modulated was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.