Individual provider · Type 1 NPI

Lynde Roach

Licensed Practical Nurse · Omaha, NE

NPI number 1104776772 Active

Practice location

220 N 89th St Ste 202, Ste 202
Omaha, NE 68114-4072

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X28415 (NE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104776772

Lynde Roach's National Provider Identifier is 1104776772, issued on Feb 2, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Omaha, NE. The record was last updated on Feb 2, 2026.