Individual
DR. PETRA SUSANNA JONSSON RAZDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
600 N COTNER BLVD STE 208, LINCOLN, NE 68505
(402) 464-5969
(402) 464-3657
Mailing address
600 N COTNER BLVD STE 208, LINCOLN, NE 68505-2343
(402) 464-5969
(402) 464-3657
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
44972
NE
207R00000X
Internal Medicine Physician
000000000000000000
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47060801513
—
NE
Enumeration date
02/20/2008
Last updated
07/18/2018
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