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1043226517
KENT LACEY
SCOTTSBLUFF, NE
NPI
1043226517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 15215)
Enumeration Date
2006-08-01
Last Update Date
2008-04-02
Business Address
Dr. KENT LACEY M.D.
3911 AVENUE B SUITE 1100
SCOTTSBLUFF, NE 69361-4617
Phone number: 308-630-2100
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Mailing Address
Dr. KENT LACEY M.D.
2215 3RD AVE
SCOTTSBLUFF, NE 69361-2032
Phone number: 308-632-4259
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