Doctor Name: | MS. LORI LYNN SWANSON |
NPI Number: | 1760675177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A-061552 |
Business Practice Address: | Highway 77/75 Winnebago Indian Health Service Hospital Winnebago, NE - 680710767 |
Business Phone Number: | 4028782231 |
Business Fax Number: | |
Mailing Address: | Po Box Hh Hwy 7775, Winnebago Indian Health Service Hospital WINNEBAGO |
State: | NE |
Postal Code: | 680710767 |
Phone Number: | 4028782231 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-061552 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |