Lasane, Tracey
Lasane, Tracey is an individual health care provider with primary practice located at 5114 Diamond Dr , Lake Park GA 31636-3087. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Lasane, Tracey can be contacted via phone (850) 739-1233.Contact Information
Primary practice address
5114 Diamond Dr
Lake Park GA 31636-3087
Phone: (850) 739-1233
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | 053089940 | Georgia |
Profile Details
NPI number | 1134824998 |
---|---|
LBN Legal business name | Lasane, Tracey |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2023 |
Last updated | Apr 3rd, 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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