Provider Demographics
NPI:1316733181
Name:SMART, LAURA R
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:R
Last Name:SMART
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:R
Other - Last Name:STEHLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:834 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2038
Mailing Address - Country:US
Mailing Address - Phone:832-752-8026
Mailing Address - Fax:
Practice Address - Street 1:8055 O ST STE 119B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2565
Practice Address - Country:US
Practice Address - Phone:402-421-1119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion