Provider Demographics
NPI:1770398646
Name:ALLEN, LAWRENCE V JR
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:V
Last Name:ALLEN
Suffix:JR
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 1:3720 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68524-1225
Mailing Address - Country:US
Mailing Address - Phone:531-500-7566
Mailing Address - Fax:
Practice Address - Street 1:3720 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68524-1225
Practice Address - Country:US
Practice Address - Phone:531-500-7566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion