Individual
MRS. BROOKE K LUENENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
106 E C ST, NORTH PLATTE, NE 69101-5411
(308) 532-6165
(308) 532-7464
Mailing address
106 E C ST, NORTH PLATTE, NE 69101-5411
(308) 532-6165
(308) 532-7464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1090
NE
Other
Enumeration date
01/26/2006
Last updated
01/23/2012
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