IndividualActive
Jordan Lacy, M.D.
NPI 1639430416 · Neurological Surgery Physician · Omaha, NE
Provider details
- NPI number
- 1639430416
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6729 (NE)
Practice location
8005 Farnam Dr Ste 305
Omaha, NE 68114-3426
Phone: (402) 390-4111
Fax: (402) 390-4115
Mailing address
8005 Farnam Dr
Omaha, NE 68114-3426
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.