Individual
LACEY JAE MASCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6911 VAN DORN ST, SUITE # 2, LINCOLN, NE 68506-6801
(402) 489-4186
(402) 489-5279
Mailing address
2900 S 70TH ST, STE 450, LINCOLN, NE 68506-3796
(402) 489-4186
(402) 489-5279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68104
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101199
NE
Other
Enumeration date
02/09/2012
Last updated
07/15/2021
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