Healthcare Provider Details

I. General information

NPI: 1114978392
Provider Name (Legal Business Name): ROBIN ZAGURSKI LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 04/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N 49TH ST SUITE 208
OMAHA NE
68198-8102
US

IV. Provider business mailing address

108 N 49TH ST SUITE 208
OMAHA NE
68198-8102
US

V. Phone/Fax

Practice location:
  • Phone: 402-889-2070
  • Fax: 402-504-3369
Mailing address:
  • Phone: 402-889-2070
  • Fax: 402-504-3369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1905
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: