Organization
ROBERT LUNDHOLM APRN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILLIAM LUNDHOLM APRN (OWNER)
(402) 504-3707
Entity
Organization
Contact information
Practice address
2808 S 80TH AVE, SUITE 110, OMAHA, NE 68124-3253
(402) 504-3707
(402) 504-3714
Mailing address
2808 S 80TH AVE, SUITE 110, OMAHA, NE 68124-3253
(402) 504-3707
(402) 504-3714
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111311
NE
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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