Individual
LACY RUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLDAC
Contact information
Practice address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 991-8518
(402) 455-7050
Mailing address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 991-8518
(402) 455-7050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2056
NE
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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