Healthcare Provider Details

I. General information

NPI: 1295589976
Provider Name (Legal Business Name): CAMERON LAFLEUR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981045 NEBRASKA MEDICAL CTR
OMAHA NE
68198-1045
US

IV. Provider business mailing address

981045 NEBRASKA MEDICAL CTR
OMAHA NE
68198-1045
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-1018
  • Fax: 402-559-1011
Mailing address:
  • Phone: 402-559-1018
  • Fax: 402-559-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number37043
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number35594
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: