Healthcare Provider Details

I. General information

NPI: 1770765232
Provider Name (Legal Business Name): LINDSEY RENAE SNYDER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY RENAE LOFSTEDT D.C.

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7202 GILES RD SUITE 7
LA VISTA NE
68128-6000
US

IV. Provider business mailing address

7202 GILES RD SUITE 7
LA VISTA NE
68128-6000
US

V. Phone/Fax

Practice location:
  • Phone: 402-932-6006
  • Fax: 402-504-6217
Mailing address:
  • Phone: 402-932-6006
  • Fax: 402-504-6217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1620
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: