Individual
MISS ANN MARIE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-9345
Mailing address
1518 SKYLINE DR, LINCOLN, NE 68506-1461
(402) 613-7741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67712
NE
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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