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TRACEY LANE DELAPLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6536 S MCCARRAN BLVD, STE B, RENO, NV 89509-6168
(775) 825-5595
(775) 825-4774
Mailing address
6536 S MCCARRAN BLVD, STE B, RENO, NV 89509-6168
(775) 825-5595
(775) 825-4774

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
6255
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NV5959
BLUECROSS BLUESHIELD
NV
01
V32258
MEDICARE PTAN
NV
Enumeration date
06/21/2006
Last updated
11/28/2012
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