Individual
DR. STUART GEORGE LACEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3445 O ST, LINCOLN, NE 68510-1541
(402) 474-3445
(402) 474-6061
Mailing address
3445 O ST, LINCOLN, NE 68510-1541
(402) 474-3445
(402) 474-6061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44960
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
534810
UNITED CONCORDIA
—
01
—
5373
BCBS
—
Enumeration date
05/15/2006
Last updated
07/08/2007
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