Provider Demographics
NPI:1861615577
Name:LINGREN, JANET HELEN (EDD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:HELEN
Last Name:LINGREN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 S 75TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3004
Mailing Address - Country:US
Mailing Address - Phone:402-488-1916
Mailing Address - Fax:
Practice Address - Street 1:2401 S 75TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3004
Practice Address - Country:US
Practice Address - Phone:402-488-1916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84095OtherBLUECROSSBLUESHIELD