Provider Demographics
NPI:1306536842
Name:DOBSON, LAUREN (APRN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DOBSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:825 S. 169TH ST.
Mailing Address - Street 2:3RD FLOOR - SOUTH
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-1260
Mailing Address - Country:US
Mailing Address - Phone:402-354-4822
Mailing Address - Fax:
Practice Address - Street 1:350 W 23RD ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2592
Practice Address - Country:US
Practice Address - Phone:402-815-7800
Practice Address - Fax:402-815-9119
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114761363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty