Individual
LAURENCE ALAN ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7823 WAKELEY PLAZA, OMAHA, NE 68114-3651
(402) 393-7550
(402) 393-1017
Mailing address
7823 WAKELEY PLAZA, OMAHA, NE 68114-3651
(402) 393-7550
(402) 393-1017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11414
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0581629
—
IA
01
—
1022
BCBS
NE
Enumeration date
07/10/2006
Last updated
07/08/2007
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