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NPI Code Detail

MEDICARE: MRS. TINA LONNEMAN NP-C

MEDICARE: MRS. TINA LONNEMAN NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.0992273-NPCO

General Provider Information

NPI Number : 1982782959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TINA LONNEMAN NP-C
Provider Business Mailing Address
First Line : 11846 PRAIRIE HARVEST CT
Second Line :
City : PARKER
State : CO
Zip : 80134-3052
Country : US
Telephone Number : 720-256-5036
Fax Number :
Provider Business Practice Location Address
First Line : 19590 E MAINSTREET STE 202
Second Line :
City : PARKER
State : CO
Zip : 80138-7371
Country : US
Telephone Number : 720-853-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 10/09/2024

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