Individual
LYNNETTE A MOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14450 EAGLE RUN DR, SUITE 104, OMAHA, NE 68116-1493
(402) 498-0380
(402) 498-0355
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18287
NE
Other
Enumeration date
07/18/2006
Last updated
07/22/2011
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