Provider Demographics
NPI:1013705961
Name:PEKNY, LISA
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:PEKNY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 S 31ST PL
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4862
Mailing Address - Country:US
Mailing Address - Phone:402-641-0314
Mailing Address - Fax:
Practice Address - Street 1:7101 S 31ST PL
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4862
Practice Address - Country:US
Practice Address - Phone:402-641-0314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant