Healthcare Provider Details

I. General information

NPI: 1487559571
Provider Name (Legal Business Name): LETICIA SHERMAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7041 S 38TH ST
LINCOLN NE
68516-5727
US

IV. Provider business mailing address

7041 S 38TH ST
LINCOLN NE
68516-5727
US

V. Phone/Fax

Practice location:
  • Phone: 402-601-1902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: