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1639430416
JORDAN P LACY
OMAHA, NE
NPI
1639430416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: NE 6729)
Enumeration Date
2012-06-07
Last Update Date
2023-12-13
Business Address
JORDAN P LACY M.D.
8005 FARNAM DR STE 305
OMAHA, NE 68114-3426
Phone number: 402-390-4111
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Mailing Address
JORDAN P LACY M.D.
8005 FARNAM DR STE 305
OMAHA, NE 68114-3426
Phone number: 402-398-9243
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