Individual
TANYA DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2610 RIDGELINE CT, LINCOLN, NE 68512-3664
(402) 416-2590
Mailing address
2610 RIDGELINE CT, LINCOLN, NE 68512-3664
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16868
NE
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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