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Individual
DR. TRACY LYNN KRUZICK
Active
Individual
DR. TRACY LYNN KRUZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
238418
MA
207K00000X
Allergy & Immunology Physician
DR.0046645
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029563
KAISER COMMERCIAL NUMBER
CO
05
—
9000200004
—
CO
01
—
FK0056728
DEA
CO
Enumeration date
12/18/2006
Last updated
05/10/2024
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