MEDICARE: LORI A. EUREK RN BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	53651	NE

General Provider Information

NPI Number	:	1558828731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI A. EUREK RN BSN

Provider Business Mailing Address
First Line	:	800 N 8TH ST
Second Line	:
City	:	LOUP CITY
State	:	NE
Zip	:	68853-8020
Country	:	US
Telephone Number	:	308-745-0603
Fax Number	:	308-745-0130

Provider Business Practice Location Address
First Line	:	800 N 8TH ST
Second Line	:
City	:	LOUP CITY
State	:	NE
Zip	:	68853-8020
Country	:	US
Telephone Number	:	308-745-0603
Fax Number	:	308-745-0130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2019
Last Update Date	:	02/25/2019

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