Provider Demographics
NPI:1922616739
Name:VOLZKE, LAUREN LYNN (AUD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:LYNN
Last Name:VOLZKE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 RENATTA DR APT 6104
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5249
Mailing Address - Country:US
Mailing Address - Phone:402-984-1647
Mailing Address - Fax:
Practice Address - Street 1:8230 RENATTA DR APT 6104
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5249
Practice Address - Country:US
Practice Address - Phone:402-984-1647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE393231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist