Provider Demographics
NPI:1487304879
Name:SZUCS, GRACE
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:SZUCS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 BRIAR ROSA DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2724
Mailing Address - Country:US
Mailing Address - Phone:832-707-7527
Mailing Address - Fax:
Practice Address - Street 1:1700 NORTH 35TH STREET
Practice Address - Street 2:110 RUTH LEVERTON HALL
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583
Practice Address - Country:US
Practice Address - Phone:402-472-2276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program