Individual
LYNN M KOCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
11820 STANDING STONE DR, GRETNA, NE 68028-7979
(402) 332-3903
(402) 391-3076
Mailing address
11820 STANDING STONE DR, GRETNA, NE 68028-7979
(402) 332-3903
(402) 391-3076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
780
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235047
MIDLANDS CHOICE
NE
05
—
47053695301
—
NE
Enumeration date
09/27/2005
Last updated
07/06/2022
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