Provider Demographics
NPI:1275082828
Name:ROBINS, LAUREN HIATT (OTD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:HIATT
Last Name:ROBINS
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:HIATT
Other - Last Name:JANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17201 WRIGHT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2042
Mailing Address - Country:US
Mailing Address - Phone:402-334-4773
Mailing Address - Fax:
Practice Address - Street 1:17201 WRIGHT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2042
Practice Address - Country:US
Practice Address - Phone:402-334-4773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1556OtherMEDICAL LICENSE NUMBER