Lewis, Tracy

Lewis, Tracy is an individual health care provider with primary practice located at 1211 Daisy Ct , Holly Ridge NC 28445-7989. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Lewis, Tracy can be contacted via phone (318) 278-7824.

Contact Information

Primary practice address
1211 Daisy Ct Holly Ridge NC 28445-7989
Phone: (318) 278-7824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Dental Providers / Dentist 122300000X DEN1001700 District of Columbia

Profile Details

NPI number 1366983439
LBN Legal business name Lewis, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2017
Last updated Nov 27th, 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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