Healthcare Provider Details

I. General information

NPI: 1609878610
Provider Name (Legal Business Name): PETER D LUENINGHOENER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E DOUGLAS ST
ONEILL NE
68763-1830
US

IV. Provider business mailing address

304 E DOUGLAS ST
ONEILL NE
68763-1830
US

V. Phone/Fax

Practice location:
  • Phone: 402-336-4222
  • Fax: 402-336-4228
Mailing address:
  • Phone: 402-336-4222
  • Fax: 402-336-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18065
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: