Individual
TRACY LYNN SIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3030 HARDEN BLVD, LAKELAND, FL 33803-7952
(863) 284-5000
(863) 284-6825
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPARTMENT, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9274656
FL
Other
Enumeration date
09/25/2018
Last updated
07/26/2022
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