Individual
TRACY BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LC
Contact information
Practice address
5050 CLUB VIEW DR, CONCORD, NC 28025-8419
(828) 777-2696
Mailing address
5050 CLUB VIEW DR, CONCORD, NC 28025-8419
(828) 777-2696
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303365
NC
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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