MEDICARE: VINCENT KALALA LUKADI

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	101YM0800X	Mental Health Counselor		NE

General Provider Information

NPI Number	:	1578413241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT KALALA LUKADI

Provider Business Mailing Address
First Line	:	11124 COTTONWOOD PLZ APT I2
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-3723
Country	:	US
Telephone Number	:	531-284-7746
Fax Number	:

Provider Business Practice Location Address
First Line	:	11124 COTTONWOOD PLZ APT I2
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-3723
Country	:	US
Telephone Number	:	531-284-7746
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ VINCENT KALALA LUKADI ” Practice Location

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