Individual
LAURYN VACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 E 5TH ST, PAPILLION, NE 68046-2208
(719) 251-6935
Mailing address
8006 S 68TH STREET CIR, LA VISTA, NE 68128-4365
(402) 885-3164
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
H13972224
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41305264
INDEPENDENT PROVIDER
NE
Enumeration date
12/31/2024
Last updated
12/31/2024
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