Lacey Gottula
Nurse Practitioner, Family in Lincoln, NE. Individual provider (NPI-1).
NPI number1154868024
StatusActive
Last updated in NPPESFeb 6, 2017
Details
- NPI
- 1154868024
- Entity type
- Individual (NPI-1)
- Name
- Lacey Gottula
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2017
- Last updated
- Feb 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 112176 | NE | Yes |
| 163W00000X | Registered Nurse | 74152 | NE |
Practice location
8445 Andermatt DrLincoln, NE 68526-9746
Phone 402-328-4700
Mailing address
8445 Andermatt DrLincoln, NE 68526-9746
Phone 402-328-4700
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