Individual
NICHOLE LUNGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2707 2ND AVE STE B, KEARNEY, NE 68847-4401
(308) 234-1278
(308) 234-1279
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 675-1853
(308) 210-4121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1190
NE
Other
Enumeration date
12/11/2014
Last updated
02/18/2022
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