Individual
LYNDSEY G DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1825 N 205TH ST, ELKHORN, NE 68022-4761
(402) 330-4555
(402) 330-4626
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1434
NE
363AM0700X
Medical Physician Assistant
Primary
1434
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01191169
RR MEDICARE
NE
Enumeration date
03/17/2009
Last updated
02/20/2026
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