Individual
TRACY LYNN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
1709 S 16TH ST STE A, WILMINGTON, NC 28401-6491
(910) 452-8633
(910) 452-8569
Mailing address
4855 GATE POST LN, WILMINGTON, NC 28412-8404
(910) 638-8220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017083
NC
Other
Enumeration date
04/20/2021
Last updated
11/01/2022
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