Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Lake Intensity-Modulated

Organization Radiation Oncology Clinic/Center · NPI 1174674691

Pine Lake Intensity-Modulated is a Radiation Oncology Clinic/Center in Lincoln, Nebraska. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3901 Pine Lake Rd Ste 111
Lincoln, NE 68516-5497
Phone: (402) 481-6090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Clinic/Center (primary) Taxonomy 261QX0203X

Record details

NPI number1174674691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bennett Barrios — Managing Member · (402) 327-7300
Other names Pine Lake Imrt
NPI enumeratedJanuary 12, 2007
Last updated in NPPESDecember 11, 2009
Mailing address3901 Pine Lake Rd, Suite 111, Lincoln, NE 68516-5497