| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMBER LYNN FOX | 1427652387 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Amber Lynn Fox RPH |
| Other Provider Name | Amber Lynn Thornburg |
| Practice Office Address | 3620 N 6TH ST BEATRICE, NE US |
| Practice Office Telephone | 4022284594 |
| Mailing Address | 5150 W FLETCHER AVE LINCOLN, NE 685248957 US |
| Business Telephone | 4024406997 |
| Code | License No | State |
|---|---|---|
| 183500000X PRIMARY | 11255 | NE |