LAURA J VANDENBERG, LADC SEWARD, NE

Contact Information

LAURA J VANDENBERG, LADC

729 SEWARD ST
SUITE 2
SEWARD, NE 68434

Phone: 402-643-3343
Fax: 402-643-4048
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for LAURA J VANDENBERG · (Female)

NPI Number	`1518039619`
Status	Active
Credentials	LADC
Entity	Individual
Enumeration date	11/14/2006
Last updated	09/30/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	NE License # 422 NE Medicaid 10025208500 NE Medicaid 10025208600 NE Medicaid 10025668200 NE Medicaid 470528515-08 NE Medicaid 47052851500 NE Medicaid 47052851501 NE Medicaid 47052851503 NE Medicaid 47052851504 NE Medicaid 47052851506 NE Medicaid 47052851509 NE Medicaid 47052851510 NE Medicaid 47052851514 NE Medicaid 47052851515 NE Other 85311 BCBS
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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LAURA J VANDENBERG, LADC – NPI #1518039619Addiction (Substance Use Disorder)

Contact Information

Specialty

Addiction (Substance Use Disorder)

NPI Profile & details for LAURA J VANDENBERG · (Female)

Reviews for LAURA J VANDENBERG

LAURA J VANDENBERG, LADC – NPI #1518039619
Addiction (Substance Use Disorder)