Individual
MRS. TRACY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2549
(732) 303-2785
Mailing address
25 GEORGIAN BLVD, JACKSON, NJ 08527-2429
(732) 685-1708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14969200
NJ
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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