Provider Demographics
NPI:1760295638
Name:PRELLE, LORI
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:PRELLE
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 1:8450 FILMORE RD
Mailing Address - Street 2:
Mailing Address - City:HEMINGFORD
Mailing Address - State:NE
Mailing Address - Zip Code:69348-5080
Mailing Address - Country:US
Mailing Address - Phone:308-760-4523
Mailing Address - Fax:
Practice Address - Street 1:422 LANE 2 ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-3633
Practice Address - Country:US
Practice Address - Phone:402-760-4523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider