Lane, Tracy

Lane, Tracy is an sole proprietor health care provider with primary practice located at 2221 Peachtree Rd Ne Ste D658, Atlanta GA 30309-1148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Independent Medical Examiner, which is considered as her primary health care specialty. Lane, Tracy can be contacted via phone (404) 855-4503.

Contact Information

Primary practice address
2221 Peachtree Rd Ne Ste D658 Atlanta GA 30309-1148
Phone: (404) 855-4503
Fax: (404) 855-4503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 055676 Georgia

Profile Details

NPI number 1013923218
LBN Legal business name Lane, Tracy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Feb 23rd, 2017 - about 7 years ago

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 1013923218 NPPES
Georgia MEDICAID 535673028B
Georgia MEDICAID 535673028C

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