Provider Demographics
NPI:1649071192
Name:BEAHR-SANTOS, LAKYNDRA BELLE
Entity type:Individual
Prefix:
First Name:LAKYNDRA
Middle Name:BELLE
Last Name:BEAHR-SANTOS
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 1:1949 INDEPENDENCE CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1531
Mailing Address - Country:US
Mailing Address - Phone:402-802-5376
Mailing Address - Fax:
Practice Address - Street 1:1949 INDEPENDENCE CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1531
Practice Address - Country:US
Practice Address - Phone:402-802-5376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE69054374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide