Lantaff, Tracy Maureen

Lantaff, Tracy Maureen is an individual health care provider with primary practice located at 3950 Austell Rd , Austell GA 30106-1121. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lantaff, Tracy Maureen can be contacted via phone (770) 874-5400.

Contact Information

Primary practice address
3950 Austell Rd Austell GA 30106-1121
Phone: (770) 874-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN176566 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN176566 Georgia

Profile Details

NPI number 1225365349
LBN Legal business name Lantaff, Tracy Maureen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2009
Last updated Jan 15th, 2020 - about 5 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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