Individual
SUSAN ELIZABETH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4000
Mailing address
1610 S 35TH ST, OMAHA, NE 68105-2522
(402) 345-9485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901702
NE
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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