EVIN LACKORE (NPI# 1063862779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063862779 |
| Entity Type | Individual |
| Full Name | EVIN LACKORE |
| Credential | M.D. |
| Practice Address |
Unmc Pediatrics Residency Program 982185 Nebraska Medical Center Omaha NE 68198 |
| Mailing Address |
7045 S Harrison Hills Dr Apt 208 La Vista NE 68128-7709 |
| Practice Telephone | 4025595380 |
| Mailing Telephone | 4026313689 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 7646 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
UNMC PEDIATRICS RESIDENCY PROGRAM 982185 NEBRASKA MEDICAL CENTER |
| City | OMAHA |
| State | NE |
| Zip Code | 68198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| 1962615047 | Terri Lynn Love | Radiology | Unmc Dept. of Radiology, 42nd & Emile, Omaha, NE 68198 | 2007-05-07 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
| 1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
| 1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
| 1962866418 | Children's Hospital & Medical Center | Pediatrics | 110 N 175th St Ste 1600, Children's Outpatient Surgery Center, Omaha, NE 68118-3581 | 2016-04-11 |
| 1437513264 | Beyond Care Pediatrics LLC | Pediatrics | 16945 Frances St Ste 200b, Omaha, NE 68130-2312 | 2016-04-07 |
| 1891155313 | Children's Hospital & Medical Center | Pediatrics | 4825 Dodge St, Children's Hospital & Medical Center Urgent Care Dundee, Omaha, NE 68132-3110 | 2016-02-25 |
| 1558735795 | Cynthia Wengel | Pediatrics | 16324 Hamilton Cir, Omaha, NE 68118-2463 | 2015-11-27 |
| 1053793836 | Austin Maurice Vandeberg | Pediatrics | 1224 S 52nd St, Omaha, NE 68106-1728 | 2015-06-29 |
| 1831578103 | Aleisha Marie Nabower | Pediatrics | 92185 Nebraska Medical Ctr, Omaha, NE 68198-2185 | 2015-05-20 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.