Lucas, Tracy
Lucas, Tracy is an individual health care provider with primary practice located at 147 Lake Street , Newburgh NY 12550-5242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lucas, Tracy can be contacted via phone (845) 563-8000.Contact Information
Primary practice address
147 Lake Street
Newburgh NY 12550-5242
Phone: (845) 563-8000
Fax: (845) 563-8096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | F333506 | New York |
Profile Details
| NPI number | 1972675841 |
|---|---|
| LBN Legal business name | Lucas, Tracy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | May 5th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972675841 | NPPES |
| New York | MEDICAID | 02762825 |
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