Active NPI
LLB Laser LLC
- Women's Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1922847011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- LLB LASER LLC
- Practice address
- 4905 S 107TH Ave Ste 200
Omaha, NE 68127-1940 - Phone
- (402) 243-1526
- NPI assigned
- May 20, 2024
- Organization subpart
- Yes
- Parent organization
- PRIDE HEALTH CLINIC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Dvork, APRN
- Title
- Owner
- Phone
- (402) 243-1526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | Primary |
Addresses
Primary practice location
4905 S 107TH Ave Ste 200
Omaha, NE 68127-1940
Mailing address
4905 S 107TH Ave Ste 200
Omaha, NE 68127-1940
Phone (402) 243-1526
National Provider Directory
National Provider Directory- Part of
- Pride Health Clinic LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Women's Health Nurse Practitioner
- Omaha, NE
- NPI 1184332918
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Omaha, NE
- NPI 1265422562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1922847011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 S 107TH AVE STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271940",
"telephone_number": "402-243-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 S 107TH AVE STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271940",
"telephone_number": "402-243-1526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LLB LASER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRIDE HEALTH CLINIC LLC",
"enumeration_date": "2024-05-20",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "DVORK",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-243-1526",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.