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Individual

DR. ELISABETH TRACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4350 CROCKER ROAD, STE.300, WESTLAKE, OH 44145-6329
(440) 588-8005
(440) 835-4790
Mailing address
2000 AUBURN DR., STE.350, BEACHWOOD, OH 44122-4327
(440) 646-1600
(440) 646-1505

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.140228
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0415378
OH
Enumeration date
05/07/2016
Last updated
01/13/2026
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