Healthcare Provider Details

I. General information

NPI: 1245144534
Provider Name (Legal Business Name): PROF. ALICIA JEAN LUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 E HOLLAND ST
MINDEN NE
68959-2052
US

IV. Provider business mailing address

608 E HOLLAND ST
MINDEN NE
68959-2052
US

V. Phone/Fax

Practice location:
  • Phone: 308-830-3826
  • Fax:
Mailing address:
  • Phone: 308-830-3826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License NumberH13632008
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: