Moore, Lawanda Rochelle

Moore, Lawanda Rochelle is an sole proprietor health care provider with primary practice located at 5421 N 103Rd St Ste 401 , Omaha NE 68134-1010. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Moore, Lawanda Rochelle can be contacted via phone (402) 393-2525.

Contact Information

Primary practice address
5421 N 103Rd St Ste 401 Omaha NE 68134-1010
Fax: (402) 393-2441
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X HHA202002 Nebraska
Agencies / Home Health 251E00000X HHA202002 Nebraska

Profile Details

NPI number 1598250201
LBN Legal business name Moore, Lawanda Rochelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2018
Last updated Jul 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598250201 NPPES
Nebraska MEDICAID 1598250201

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