Individual provider · Type 1 NPI

Laurie Dutko, PA-C

Medical Physician Assistant · Omaha, NE

NPI number 1831844968 Active

Practice location

8200 Dodge St
Omaha, NE 68114-4113

Call (402) 955-5372 Map

Fax (402) 955-5380

Mailing address

PO Box 24607
Omaha, NE 68124-0607

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X60381 (CA)
Medical Physician Assistant 363AM0700XPA61171019 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1831844968

Laurie Dutko, PA-C's National Provider Identifier is 1831844968, issued on Feb 17, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Omaha, NE. The record was last updated on Feb 17, 2022.