Individual
TRACY LE DZIACKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4701 NORMAL BLVD, LINCOLN, NE 68506-5563
(402) 488-5050
Mailing address
4701 NORMAL BLVD, LINCOLN, NE 68506-5563
(402) 488-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115362
FL
Other
Enumeration date
02/11/2022
Last updated
09/11/2025
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