Nebraska DHHS: Licensing & Regulatory Affairs: Medical & Specialized Health: Physician and Surgeon: Name and Address Changes

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Physician and Surgeon
Name and Address Changes

To request an address change, you can contact Meegan Dyrland at (402) 471-2118 or E-Mail at meegan.dyrland@dhhs.ne.gov. If you wish to change your name on your Licensing & Regulatory Affairs record, you must mail a written request with your signature notarized along with a copy of the legal document verifying name change to:

Licensing & Regulatory Affairs
Physicians
PO Box 94986
Lincoln NE 68509-4986

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Physician and Surgeon Name and Address Changes

Physician and Surgeon
Name and Address Changes