Individual
DR. TRACEY LYON CACCIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6900 GEORGIA AVE NW, WRAMC - DEPT OF ANESTHESIA, WASHINGTON, DC 20307-0003
(202) 782-0039
Mailing address
6940 REPOSE PL, FORT BELVOIR, VA 22060-7418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101235214
VA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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