Individual
DR. KENT LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3911 AVENUE B, SUITE 1100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
(308) 630-1890
Mailing address
2215 3RD AVE, SCOTTSBLUFF, NE 69361-2032
(308) 632-4259
(308) 630-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15215
NE
Other
Enumeration date
08/01/2006
Last updated
04/02/2008
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