Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evin Lackore, MD

Individual provider Pediatrics Physician · NPI 1063862779

Evin Lackore, MD is a Pediatrics Physician in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Unmc Pediatrics Residency Program 982185 Nebraska Medical Ctr
Omaha, NE 68198
Phone: (402) 559-5380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 7646 (NE)

Record details

NPI number1063862779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 14, 2016
Mailing address7045 S Harrison Hills Dr Apt 208, La Vista, NE 68128-7709

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