Diana R Lundquist, PA-C
Physician Assistant, Medical in Omaha, NE. Individual provider (NPI-1).
NPI number1104984772
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104984772
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diana R Lundquist
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 751 | NE | Yes |
Practice location
7815 Farnam DrChildren'S Home Healthcare'S World
Omaha, NE 68114-4564
Phone 402-926-2322 · Fax 402-926-2722
Mailing address
7815 Farnam DrChildren'S Home Healthcare'S World
Omaha, NE 68114-4564
Phone 402-926-2322 · Fax 402-926-2722
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