Individual
TRACIE LACASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 MAIN ST, SPRINGFIELD, MA 01107-1112
(413) 794-2273
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN253078
MA
Other
Enumeration date
11/05/2018
Last updated
11/06/2018
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