Healthcare Provider Details

I. General information

NPI: 1366255481
Provider Name (Legal Business Name): KATIE LERCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E 23RD ST
FREMONT NE
68025-9802
US

IV. Provider business mailing address

205 W HILL ST
HOOPER NE
68031-3025
US

V. Phone/Fax

Practice location:
  • Phone: 402-941-1699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number65918
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: