Provider Demographics
NPI:1477174514
Name:LAFLAN MEDICAL CLINIC, LLC
Entity Type:Organization
Organization Name:LAFLAN MEDICAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LAFLAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:402-360-0767
Mailing Address - Street 1:804 CHASE AVE
Mailing Address - Street 2:
Mailing Address - City:CREIGHTON
Mailing Address - State:NE
Mailing Address - Zip Code:68729-2893
Mailing Address - Country:US
Mailing Address - Phone:402-358-5335
Mailing Address - Fax:402-358-3598
Practice Address - Street 1:804 CHASE AVE
Practice Address - Street 2:
Practice Address - City:CREIGHTON
Practice Address - State:NE
Practice Address - Zip Code:68729-2893
Practice Address - Country:US
Practice Address - Phone:402-358-5335
Practice Address - Fax:402-358-3598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care