Provider Demographics
NPI:1487451662
Name:LEBRON, SAVINO DOMINICK
Entity type:Individual
Prefix:
First Name:SAVINO
Middle Name:DOMINICK
Last Name:LEBRON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 W HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68524-1542
Mailing Address - Country:US
Mailing Address - Phone:732-877-4433
Mailing Address - Fax:
Practice Address - Street 1:9834 M ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-2056
Practice Address - Country:US
Practice Address - Phone:402-975-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty