Organization Active NPI

LMMC Norfolk LLC

  • General Practice Physician
  • Norfolk, NE
National Provider Identifier
1790530574
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LMMC NORFOLK LLC
Practice address
2501 Lakeridge Dr Ste 104a
Norfolk, NE 68701-2558
Phone
(402) 973-1507
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emily Schroeder
Title
Director of Business Intelligence
Phone
(402) 525-8685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2501 Lakeridge Dr Ste 104a
Norfolk, NE 68701-2558

Mailing address

2501 Lakeridge Dr Ste 104a
Norfolk, NE 68701-2558

National Provider Directory

National Provider Directory

Locations

2501 Lakeridge Dr
Ste 104A
Norfolk, NE 68701
Phone 4022040651 ext. 02205

2501 Lakeridge Dr
Ste 106A
Norfolk, NE 68701

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1790530574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR STE 104A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR STE 104A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-973-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMMC NORFOLK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS INTELLIGENCE",
        "authorized_official_telephone_number": "402-525-8685"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.