Individual
AMBER LYNAE REYNOLDS-LORENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
221 E 10TH ST, OGALLALA, NE 69153-1425
(308) 284-8421
(308) 284-2821
Mailing address
PO BOX 26, OGALLALA, NE 69153-0026
(308) 284-8421
(308) 284-2821
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15-01702
KS
363AM0700X
Medical Physician Assistant
Primary
1960
NE
Other
Enumeration date
07/31/2014
Last updated
02/05/2016
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