| Doctor Name: | AMBER LYNAE REYNOLDS-LORENTZ |
| NPI Number: | 1023426202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 15-01702 |
| Business Practice Address: | 221 E 10th St Ogallala, NE - 691531425 |
| Business Phone Number: | 3082848421 |
| Business Fax Number: | 3082842821 |
| Mailing Address: | Po Box 26, OGALLALA |
| State: | NE |
| Postal Code: | 691530026 |
| Phone Number: | 3082848421 |
| Fax Number: | 3082842821 |
| NPI Enumeration Date: | 07/31/2014 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 15-01702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |