Healthcare Provider Details

I. General information

NPI: 1295878726
Provider Name (Legal Business Name): LORRIE J HRABIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 03/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 LYNCREST DRIVE
LINCOLN NE
68510
US

IV. Provider business mailing address

220 LYNCREST DRIVE
LINCOLN NE
68510
US

V. Phone/Fax

Practice location:
  • Phone: 402-434-3370
  • Fax: 402-489-0731
Mailing address:
  • Phone: 402-434-3370
  • Fax: 402-489-0731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number664
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: