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NPI Code Detail

MEDICARE: MRS. LAUREN A KELLY NP

MEDICARE: MRS. LAUREN A KELLY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner153881WI
2363LA2200XAdult Health Nurse Practitioner0024172608VA
3363LA2200XAdult Health Nurse Practitioner112465NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568793057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN A KELLY NP
Provider Business Mailing Address
First Line : 1625 DEVOE DR
Second Line :
City : LINCOLN
State : NE
Zip : 68506-1829
Country : US
Telephone Number : 414-405-6592
Fax Number :
Provider Business Practice Location Address
First Line : 8550 CUTHILLS CIR
Second Line :
City : LINCOLN
State : NE
Zip : 68526-9474
Country : US
Telephone Number : 402-476-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2010
Last Update Date : 03/14/2023

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Directions to “ MRS. LAUREN A KELLY NP” Practice Location

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