Healthcare Provider Details

I. General information

NPI: 1366601924
Provider Name (Legal Business Name): LAURA L TENNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2008
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

986840 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-0001
US

IV. Provider business mailing address

986840 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-6840
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-8500
  • Fax:
Mailing address:
  • Phone: 402-559-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberQ0578
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11014025A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: