Provider Demographics
NPI:1376865105
Name:OLTMANS, LYNDSEY
Entity Type:Individual
Prefix:DR
First Name:LYNDSEY
Middle Name:
Last Name:OLTMANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22452 PIONEER TRL
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-7115
Mailing Address - Country:US
Mailing Address - Phone:402-630-8817
Mailing Address - Fax:
Practice Address - Street 1:2803 E KANESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-1004
Practice Address - Country:US
Practice Address - Phone:712-325-0987
Practice Address - Fax:712-328-9629
Is Sole Proprietor?:No
Enumeration Date:2010-02-21
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20175183500000X
NE12335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist