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Individual
MS. TRACY LUCAS
Active
Individual
MS. TRACY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F333506
NY
363LF0000X
Family Nurse Practitioner
Primary
0024174742
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02762825
—
NY
Enumeration date
11/15/2006
Last updated
09/25/2024
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