Provider Demographics
NPI:1932127990
Name:NIEMEYER, LORRI L (APRN)
Entity Type:Individual
Prefix:
First Name:LORRI
Middle Name:L
Last Name:NIEMEYER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LORRI
Other - Middle Name:L
Other - Last Name:PETERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:555 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2462
Practice Address - Country:US
Practice Address - Phone:402-219-7420
Practice Address - Fax:402-421-7651
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1764363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470780857 02Medicaid
NE251511OtherMIDLAND'S CHOICE
IA0745257Medicaid
NE38842OtherBCBS
IA0745257Medicaid