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Individual

TRACY L LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
755 MEMORIAL PKWY, SUITE 112, PHILLIPSBURG, NJ 08865-2748
(855) 691-6897
Mailing address
800 OSTRUM ST, SUITE 102, FOUNTAIN HILL, PA 18015-1015
(610) 691-6897

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00630800
NJ

Other

Enumeration date
05/02/2016
Last updated
05/02/2016
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