Healthcare Provider Details

I. General information

NPI: 1538782875
Provider Name (Legal Business Name): LAUREN E WILLIAMS LMNT, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN E SKRABAL LMNT,RDN

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 S 153RD ST
OMAHA NE
68137-5069
US

IV. Provider business mailing address

5005 S 153RD ST
OMAHA NE
68137-5069
US

V. Phone/Fax

Practice location:
  • Phone: 402-717-9100
  • Fax: 402-717-9101
Mailing address:
  • Phone: 402-717-9100
  • Fax: 402-717-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number101757
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1409
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code136A00000X
TaxonomyRegistered Dietetic Technician
License Number101757
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number1409
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: