Healthcare Provider Details

I. General information

NPI: 1609720507
Provider Name (Legal Business Name): LUCA L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 W PLUM ST
LINCOLN NE
68522-9422
US

IV. Provider business mailing address

3710 W PLUM ST
LINCOLN NE
68522-9422
US

V. Phone/Fax

Practice location:
  • Phone: 402-741-3200
  • Fax: 402-741-3222
Mailing address:
  • Phone: 402-741-3200
  • Fax: 402-741-3222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL MFINANGA
Title or Position: TECHNOLOGY CONSULTANT
Credential:
Phone: 402-805-1383