Provider Demographics
NPI:1750033528
Name:PLATER, ALICIA LANAIR (LPN)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:LANAIR
Last Name:PLATER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 N 30TH ST # 203
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2424
Mailing Address - Country:US
Mailing Address - Phone:402-871-8725
Mailing Address - Fax:888-254-5657
Practice Address - Street 1:4200 N 30TH ST # 203
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2424
Practice Address - Country:US
Practice Address - Phone:402-871-8725
Practice Address - Fax:888-254-5657
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21780164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse