Leonard, Tracy Lynn

Leonard, Tracy Lynn is an individual health care provider with primary practice located at 1300 Sentara Park # 3 , Virginia Beach VA 23464-5884. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Leonard, Tracy Lynn can be contacted via phone (757) 252-3050.

Contact Information

Primary practice address
1300 Sentara Park # 3 Virginia Beach VA 23464-5884
Phone: (757) 252-3050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002438 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002438 Virginia

Profile Details

NPI number 1801930169
LBN Legal business name Leonard, Tracy Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Apr 17th, 2024 - about 5 months 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 1801930169 NPPES
Virginia Other 0110002438 STATE LICENSE
Virginia Other 541870680 STATE LICENSE
Virginia Other 541398620 STATE LICENSE

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