Individual
AMANDA J LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
EMILE @ 42ND, OMAHA, NE 68198-0001
(025) 594-4424
Mailing address
825 S. 169TH ST., 3RD FLOOR - SOUTH, OMAHA, NE 68118
(402) 354-4822
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
666
NE
363A00000X
Physician Assistant
Primary
2491
NE
363AM0700X
Medical Physician Assistant
2491
NE
Other
Enumeration date
03/18/2015
Last updated
04/26/2022
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