| Loridan Bromberek, NP | |
|
24602 Falcon Rd, Lebanon, MO 65536-6136 | |
| (417) 533-4013 | |
| Not Available |
| Full Name | Loridan Bromberek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 24602 Falcon Rd, Lebanon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992173637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2015029409 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | A141748 (Iowa) | Secondary |
| Entity Name | Conway Family Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013993898 PECOS PAC ID: 8527012103 Enrollment ID: O20050307000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Loridan Bromberek, NP 24602 Falcon Rd, Lebanon, MO 65536-6136 Ph: () - | Loridan Bromberek, NP 24602 Falcon Rd, Lebanon, MO 65536-6136 Ph: (417) 533-4013 |
Laura Seaman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 441 W Elm St, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2848 | |
Daniel L. Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 441 W Elm St Ste A, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2848 | |
Lisa M. Boggs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 300, Lebanon, MO 65536 Phone: 417-533-6746 Fax: 417-533-6722 | |
Starlynn M Stinson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 331 Hospital Dr, Lebanon, MO 65536 Phone: 417-532-3495 Fax: 417-532-3598 | |
Donna C. Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 | |
Shelly Kahler, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 417-831-0150 | |
Kendra Mcmillion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 |