Davis, Tracie Lyn

Davis, Tracie Lyn is an individual health care provider with primary practice located at 8851 Center Dr Ste 210 , La Mesa CA 91942-3045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Davis, Tracie Lyn can be contacted via phone (619) 463-7775.

Contact Information

Primary practice address
8851 Center Dr Ste 210 La Mesa CA 91942-3045
Fax: (619) 463-4181
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A89865 California

Profile Details

NPI number 1275680738
LBN Legal business name Davis, Tracie Lyn
Credentials M.D., FACOG
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275680738 NPPES
Other 9013016 AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY

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