IndividualActive
Mariah Lanum
NPI 1649169160 · Technician/Technologist · Lincoln, NE
Provider details
- NPI number
- 1649169160
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 161696 (NE)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
5801 Hidcote Dr
Lincoln, NE 68516-5568
Phone: (402) 665-4687
Approximate (ZIP-level) locationGet directions
Mailing address
11952 N 143rd St
Waverly, NE 68462-1165
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.