Healthcare Provider Details

I. General information

NPI: 1053241935
Provider Name (Legal Business Name): SAVANNAH POLICKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3544 MCLAUGHLIN DR
LINCOLN NE
68516-7744
US

IV. Provider business mailing address

3544 MCLAUGHLIN DR
LINCOLN NE
68516-7744
US

V. Phone/Fax

Practice location:
  • Phone: 402-975-7879
  • Fax:
Mailing address:
  • Phone: 402-975-7879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: