Provider Demographics
NPI:1811873714
Name:AUGUSTINE, DYLAN CHRISTOPHER
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:CHRISTOPHER
Last Name:AUGUSTINE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CLIFFORD
Other - Middle Name:CHRISTOPHER
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1730 G ST APT 4
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-3734
Mailing Address - Country:US
Mailing Address - Phone:402-730-7041
Mailing Address - Fax:
Practice Address - Street 1:221 SUN VALLEY BLVD STE A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-1576
Practice Address - Country:US
Practice Address - Phone:402-261-4706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion