Lundergard, Luanne M

Lundergard, Luanne M is an individual health care provider with primary practice located at 16929 Frances St Ste 103, Omaha NE 68130-4683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lundergard, Luanne M can be contacted via phone (402) 758-5821.

Contact Information

Primary practice address
16929 Frances St Ste 103 Omaha NE 68130-4683
Phone: (402) 758-5821
Fax: (402) 898-8380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 110483 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X H070586 Iowa

Profile Details

NPI number 1962425652
LBN Legal business name Lundergard, Luanne M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962425652 NPPES
Nebraska Other 500020913 RAILROAD MEDICARE
Nebraska MEDICAID 10025353100 RAILROAD MEDICARE
Nebraska Other 1962425652 RAILROAD MEDICARE
Nebraska Other 098611097 RAILROAD MEDICARE

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