Provider Demographics
NPI:1922893536
Name:MARSHALL, LORI (CNA, MEDICATION AIDE)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:CNA, MEDICATION AIDE
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:MARSHALL-BOGDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6668 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4641
Mailing Address - Country:US
Mailing Address - Phone:531-270-3495
Mailing Address - Fax:
Practice Address - Street 1:14210 ARBOR ST STE A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2382
Practice Address - Country:US
Practice Address - Phone:531-999-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider