Patton, Laurie Nystrom

Patton, Laurie Nystrom is an individual health care provider with primary practice located at 1919 S 40Th St Suite 312, Lincoln NE 68506-5243. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Patton, Laurie Nystrom can be contacted via phone (402) 475-5069.

Contact Information

Primary practice address
1919 S 40Th St Suite 312 Lincoln NE 68506-5243
Phone: (402) 475-5069
Fax: (402) 475-2350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1053 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 333 Nebraska

Profile Details

NPI number 1083754956
LBN Legal business name Patton, Laurie Nystrom
Credentials MS LIMHP LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 20th, 2012 - about 13 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 1083754956 NPPES
Nebraska MEDICAID 10025820300

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