Kent Lacey M.D.

NPI 1043226517 - Family Medicine - 207Q00000X

NPI Details
NPI 1043226517
Gender Male
Enumeration Date 08/01/2006
Last Updated 04/02/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
SUITE 1100
SCOTTSBLUFF NE, 69361-4617, US
Phone (308) 630-2100
Fax (308) 630-1890
Business Location
2215 3RD AVE
SCOTTSBLUFF NE, 69361-2032, US
Phone (308) 632-4259
Fax (308) 630-2113
Taxonomy Code 207Q00000X
License State Nebraska
License Number 15215
Remove 1043226517 NPI Number

According to our database, Dr. Kent Lacey M.D. NPI is 1043226517, taxonomy code is 207Q00000X and license number is 15215, license state is located at Nebraska. Kent Lacey M.D. physically located at 3911 Avenue B, Scottsbluff NE, 69361-4617. NPI Number Kent Lacey M.D. has the Individual type.

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1043226517 NPI number is provided on an as is basis without warranty of any kind. 1043226517 is maintained by the National Plan & Provider Enumeration System. The contents of Kent Lacey M.D. are for informational purposes only.