Individual
TRACY LYNN PRIZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5770 BAUM BLVD, STE 200, PITTSBURGH, PA 15206-3763
(412) 661-5500
(412) 661-4365
Mailing address
5770 BAUM BLVD, STE 200, PITTSBURGH, PA 15206-3763
(412) 661-5500
(412) 661-4365
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD057723L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015942410001
—
PA
01
—
834323
HIGHMARK BLUE CROSS/BLUE
PA
Enumeration date
08/02/2005
Last updated
10/15/2010
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