Healthcare Provider Details

I. General information

NPI: 1588590715
Provider Name (Legal Business Name): LAUREN ELISE WEBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985575 NEBRASKA MEDICAL CTR
OMAHA NE
68198-5575
US

IV. Provider business mailing address

985575 NEBRASKA MEDICAL CTR
OMAHA NE
68198-5575
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-1010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number10674
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: