LACIE D HAVLENA

OMAHA, NE
NPI1467345629
Former NameLACIE D GOOCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NE  101940)
Enumeration Date2025-05-29
Last Update Date2025-05-29
Business Address
LACIE D HAVLENA APRN-CRNA
8200 DODGE ST
OMAHA, NE 68114-4113
Phone number: 402-955-4370
Mailing Address
LACIE D HAVLENA APRN-CRNA
PO BOX 24607
OMAHA, NE 68124-0607
Phone number: 402-955-5400