Healthcare Provider Details

I. General information

NPI: 1437995156
Provider Name (Legal Business Name): LINDSEY A DITTMAR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N ERIE ST
LEXINGTON NE
68850-1560
US

IV. Provider business mailing address

PO BOX 980
LEXINGTON NE
68850-0980
US

V. Phone/Fax

Practice location:
  • Phone: 308-324-5651
  • Fax:
Mailing address:
  • Phone: 308-324-5651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: