Individual
ELAINA M LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-0002
(402) 559-4081
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901779
NE
Other
Enumeration date
03/29/2020
Last updated
02/09/2022
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