Lillie, Tracy A
Lillie, Tracy A is an individual health care provider with primary practice located at 790 Bryan St , Huntingdon PA 16652-2410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lillie, Tracy A can be contacted via phone (814) 643-8299.Contact Information
Primary practice address
790 Bryan St
Huntingdon PA 16652-2410
Phone: (814) 643-8299
Fax: (814) 643-8300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD066530L | Pennsylvania |
Profile Details
| NPI number | 1689650848 |
|---|---|
| LBN Legal business name | Lillie, Tracy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jun 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689650848 | NPPES |
| Pennsylvania | MEDICAID | 0017391890006 |
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