Provider Demographics
NPI:1578434122
Name:BELITZ, LELA MISSY
Entity type:Individual
Prefix:
First Name:LELA
Middle Name:MISSY
Last Name:BELITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 GROVER ST APT 8
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3850
Mailing Address - Country:US
Mailing Address - Phone:402-676-9464
Mailing Address - Fax:
Practice Address - Street 1:1401 E GOLD COAST RD
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5748
Practice Address - Country:US
Practice Address - Phone:402-331-3073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care