Individual
LYNETTE BLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-7834
Mailing address
PO BOX 428, LINDSBORG, KS 67456-0428
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
13-15205-062
KS
363LF0000X
Family Nurse Practitioner
53-44340-062
KS
Other
Enumeration date
07/12/2014
Last updated
07/12/2014
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