Individual
MRS. TRACIE DIANE LAVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13025 ALLA DR, COKER, AL 35452-3780
(205) 393-1054
Mailing address
13025 ALLA DR, COKER, AL 35452-3780
(205) 393-1054
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-127652
AL
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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