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NPI Code Detail

MEDICARE: DR. LACI NAMKEN AUD

MEDICARE:  DR. LACI  NAMKEN  AUD
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
1231H00000XAudiologist
2231H00000XAudiologist315NE

General Provider Information

NPI Number : 1831500719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LACI NAMKEN AUD
Provider Business Mailing Address
First Line : 1900 E MILITARY AVE STE 216
Second Line :
City : FREMONT
State : NE
Zip : 68025-5433
Country : US
Telephone Number : 402-459-2530
Fax Number : 402-459-2533
Provider Business Practice Location Address
First Line : 1900 E MILITARY AVE STE 216
Second Line :
City : FREMONT
State : NE
Zip : 68025-5433
Country : US
Telephone Number : 402-459-2530
Fax Number : 402-459-2533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 03/05/2026

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Directions to “ DR. LACI NAMKEN AUD” Practice Location

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