Luanne M Lundergard, N.P.
Nurse Practitioner, Adult Health in Omaha, NE. Individual provider (NPI-1).
NPI number1962425652
StatusActive
Last updated in NPPESMay 10, 2017
Details
- NPI
- 1962425652
- Entity type
- Individual (NPI-1)
- Name
- Luanne M Lundergard
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- May 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 110483 | NE | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | H070586 | IA |
Practice location
16929 Frances StSte 103
Omaha, NE 68130-4683
Phone 402-758-5821 · Fax 402-898-8380
Mailing address
16929 Frances StSte 103
Omaha, NE 68130-4683
Phone 402-758-5821 · Fax 402-898-8380
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