Tracey Lee Lysander is a Dentist in Poway, California. Tracey Lee Lysander practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tracey Lee Lysander is 1306918487. The last update date is 2007-07-08.
Tracey Lee Lysander's current location address is 15835 Pomerado Rd Ste 403, Poway, California. You can contact this provider via phone number 8584518321 and fax number 8584518302. The mailing address for Tracey Lee Lysander is 15835 Pomerado Rd Ste 403, Poway, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracey Lee Lysander |
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Address | 15835 Pomerado Rd Ste 403, Poway, California |
Phone Number | 8584518321 |
Fax Number | 8584518302 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1306918487 |
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Provider Enumeration Date | 2006-11-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 15835 Pomerado Rd Ste 403 |
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City | Poway |
State | California (CA) |
Post Code | 920642043 |
Phone Number | 8584518321 |
Fax Number | 8584518302 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 32580 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Tracey Lee Lysander by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey Lee Lysander has been assigned the NPI (National Provider Identifier) 1306918487. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Tracey Lee Lysander is located?
The Tracey Lee Lysander is situated at the following address: 15835 Pomerado Rd Ste 403, Poway, CA, 920642043.
What is Tracey Lee Lysander's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracey Lee Lysander's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Tracey Lee Lysander receive its 1306918487 assignment from the Centers for Medicare & Medicaid Services?
The Tracey Lee Lysander was assigned its 1306918487 by the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information regarding Tracey Lee Lysander most recently updated?
The details pertaining to the Tracey Lee Lysander, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1720081763
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