Provider Demographics
NPI:1144198425
Name:LOWRANCE, ALYSSA M
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:LOWRANCE
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 1:102 LOCUST ST APT 2
Mailing Address - Street 2:
Mailing Address - City:HICKMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68372-9549
Mailing Address - Country:US
Mailing Address - Phone:402-483-8534
Mailing Address - Fax:
Practice Address - Street 1:2222 S 16TH ST STE 340
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3785
Practice Address - Country:US
Practice Address - Phone:402-483-8534
Practice Address - Fax:402-483-8531
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022028889163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse