Individual
LAURIE DUTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5372
(402) 955-5380
Mailing address
PO BOX 24607, OMAHA, NE 68124-0607
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60381
CA
363AM0700X
Medical Physician Assistant
PA61171019
WA
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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