Individual
TAMARA LYNN BUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N COTNER BLVD, SUITE 101, LINCOLN, NE 68505-2343
(402) 466-3355
(402) 466-3410
Mailing address
9625 S 67TH ST, LINCOLN, NE 68516-9236
(402) 421-7663
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1017
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75306398600
—
NE
Enumeration date
11/30/2006
Last updated
07/08/2007
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