Provider Demographics
NPI:1558828731
Name:EUREK, LORI A (RN BSN)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:EUREK
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LOUP CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68853-8020
Mailing Address - Country:US
Mailing Address - Phone:308-745-0603
Mailing Address - Fax:308-745-0130
Practice Address - Street 1:800 N 8TH ST
Practice Address - Street 2:
Practice Address - City:LOUP CITY
Practice Address - State:NE
Practice Address - Zip Code:68853-8020
Practice Address - Country:US
Practice Address - Phone:308-745-0603
Practice Address - Fax:308-745-0130
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE53651163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty