Lavone Solomon, LPN

Individual provider Active NPI Licensed Practical Nurse · Central City, NE

NPI 1376972810 · NPPES record last updated Nov 5, 2013

Key facts

NPI
1376972810
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
6957 (NE)
Practice address
1715 26TH St
Central City, NE 68826-9501
Phone
(308) 946-3015
Fax
(308) 946-2633
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6957NEMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 6957 NE Yes

Addresses

Primary practice location

1715 26TH St
Central City, NE 68826-9501

Mailing address

1715 26TH St
Central City, NE 68826-9501
Phone (308) 946-3015

Other providers in Central City, NE

All providers in Central City, NE · Licensed Practical Nurse in Nebraska

Sources for this page

Verify at the official NPI Registry.