Provider Demographics
NPI:1376342436
Name:KABORE, LOKRE PAULIN
Entity type:Individual
Prefix:
First Name:LOKRE
Middle Name:PAULIN
Last Name:KABORE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 S 167TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-1542
Mailing Address - Country:US
Mailing Address - Phone:646-379-4325
Mailing Address - Fax:
Practice Address - Street 1:2517 S 167TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-1542
Practice Address - Country:US
Practice Address - Phone:646-379-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor