Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TEP | NE |
N | 111NI0900X | Internist | TEP | NE |
Y | 207RX0202X | Medical Oncology | 563 | NE |
NPI | 1003935081 |
---|---|
Provider Name | Dr. Matthew Alexander Lunning |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-8102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 17/06/2013 |