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DR. LARRA RAE PETERSEN-LUKENDA PHD
NPI 1114016607
Psychologist - Clinical in Omaha, NE

Active since October 12, 2006
4101 WOOLWORTH AVE., VA NEBRASKA-WESTERN IOWA HEALTHCARE SYSTEM, OMAHA, NE 68105(402) 995-4486(402) 995-4562 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larra Rae Petersen-lukenda Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRA RAE PETERSEN-LUKENDA PHD (NPI 1114016607) is an individual clinical provider in Omaha, Nebraska, licensed in Nebraska (654) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114016607
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LARRA RAE PETERSEN-LUKENDACredential: PHD
Location Address4101 WOOLWORTH AVE., VA NEBRASKA-WESTERN IOWA HEALTHCARE SYSTEMOmaha, NE 68105
Mailing Address4101 Woolworth Ave., Va Nebraska-western Iowa Healthcare SystemOmaha, NE 68105 · (402) 995-4486 · Fax (402) 995-4562
Phone(402) 995-4486
Fax(402) 995-4562
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 14, 2011
✔ NPI 1114016607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NE · 654
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4101 WOOLWORTH AVE., Omaha, NE 68105
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Other Identifiers 1

Medicare PIN280550NE

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larra Petersen-lukenda's NPI number?

The NPI number for Larra Petersen-lukenda is 1114016607. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Larra Petersen-lukenda located?

Larra Petersen-lukenda practices at 4101 Woolworth Ave. VA Nebraska-Western Iowa Healthcare System, Omaha, NE 68105. The listed phone number is (402) 995-4486.

What is Larra Petersen-lukenda's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Larra Petersen-lukenda was last updated on March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.