Individual
LAUREN LONGYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
42ND AND EMILE ST, OMAHA, NE 68198-0001
(925) 255-3706
Mailing address
42ND AND EMILE ST, OMAHA, NE 68198-0001
(925) 255-3706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA67668
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
03/27/2026
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