Healthcare Provider Details

I. General information

NPI: 1144198425
Provider Name (Legal Business Name): ALYSSA M LOWRANCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S 16TH ST STE 340
LINCOLN NE
68502-3785
US

IV. Provider business mailing address

102 LOCUST ST APT 2
HICKMAN NE
68372-9549
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-8534
  • Fax: 402-483-8531
Mailing address:
  • Phone: 402-483-8534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2022028889
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: