Individual
LUANNE M LUNDERGARD
Active
Individual
LUANNE M LUNDERGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
110483
NE
363LA2200X
Adult Health Nurse Practitioner
H070586
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098611097
MEDICARE PTAN
NE
05
—
10025353100
—
NE
01
—
1962425652
BCBS NE
NE
01
—
500020913
RAILROAD MEDICARE
NE
Enumeration date
07/25/2006
Last updated
05/10/2017
Update your record
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