Tracy Lee Pride in Lansing - Physician Assistant
Tracy Lee Pride - NPI 1548375934
Tracy Lee Pride is a Physician Assistant in Lansing, Michigan. Tracy Lee Pride practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Lee Pride is 1548375934. The last update date is 2019-09-20.
Tracy Lee Pride's current location address is Po Box 13008, Lansing, Michigan. You can contact this provider via phone number 5173649650 and fax number 5173649605. The mailing address for Tracy Lee Pride is Po Box 13008, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracy Lee Pride |
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Address | Po Box 13008, Lansing, Michigan |
Phone Number | 5173649650 |
Fax Number | 5173649605 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1548375934 |
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Provider Enumeration Date | 2006-08-19 |
Last Updated Date | 2019-09-20 |
Provider Mailing Address Detail
Address | Po Box 13008 |
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City | Lansing |
State | Michigan (MI) |
Post Code | 489013008 |
Phone Number | 5173649650 |
Fax Number | 5173649605 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601004110 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Tracy Lee Pride by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy Lee Pride has been assigned the NPI (National Provider Identifier) 1548375934. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Tracy Lee Pride located?
The Tracy Lee Pride is located at Po Box 13008, Lansing, MI 489013008.
Could you please provide the complete physical location address of Tracy Lee Pride?
The Tracy Lee Pride is physically situated at Po Box 13008, in the city of Lansing, state of MI, with the postal code 489013008.
What is the Tracy Lee Pride's specialty and taxonomy code?
The Tracy Lee Pride's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Tracy Lee Pride, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracy Lee Pride is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.