Tracy Lynn Liberatore in Wilkes Barre - Medical
Tracy Lynn Liberatore - NPI 1396878922
Tracy Lynn Liberatore is a Medical in Wilkes Barre, Pennsylvania. Tracy Lynn Liberatore practices all healthcare services and medical treatments related to Medical. The NPI Number for Tracy Lynn Liberatore is 1396878922. The last update date is 2008-02-05.
Tracy Lynn Liberatore's current location address is 150 Mundy St, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708240930 and fax number 5708247755. The mailing address for Tracy Lynn Liberatore is 150 Mundy St, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lynn Liberatore |
|---|---|
| Address | 150 Mundy St, Wilkes Barre, Pennsylvania |
| Phone Number | 5708240930 |
| Fax Number | 5708247755 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396878922 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 150 Mundy St |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187026830 |
| Phone Number | 5708240930 |
| Fax Number | 5708247755 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA051327 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00388511 | PA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Tracy Lynn Liberatore by the Centers for Medicare & Medicaid Services?
The Tracy Lynn Liberatore has been assigned the NPI (National Provider Identifier) 1396878922. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tracy Lynn Liberatore's facilities are situated?
The facilities of Tracy Lynn Liberatore are physically located at the following address: 150 Mundy St, Wilkes Barre, PA, 187026830.
What is the Tracy Lynn Liberatore's area of specialization and corresponding taxonomy classification?
The Tracy Lynn Liberatore's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Tracy Lynn Liberatore receive its 1396878922 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Lynn Liberatore was assigned its 1396878922 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information regarding Tracy Lynn Liberatore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracy Lynn Liberatore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-05.