Tracy, Lori Jean

Tracy, Lori Jean is an individual health care provider with primary practice located at 1200 Lexington Green Ln , Sanford FL 32771-1013. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tracy, Lori Jean can be contacted via phone (407) 322-3442.

Contact Information

Primary practice address
1200 Lexington Green Ln Sanford FL 32771-1013
Phone: (407) 322-3442
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4857 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 38948 Florida

Profile Details

NPI number 1770676678
LBN Legal business name Tracy, Lori Jean
Credentials PT, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 19th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770676678 NPPES
North Carolina Other 078KX BLUE CROSS BLUE SHIELD NC
North Carolina MEDICAID 7283677 BLUE CROSS BLUE SHIELD NC

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