SearchNebraska3747P1801X

Phanomvan Pongdara

NPI 1205626595 · on the registry since 2025 · sole proprietor

Practice

Address
5030 Locust St
Lincoln, NE 68516
Phone
(952) 452-1202
Clinicians at this address
3

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Female
Record last updated
2025-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska