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Individual

DR. TRACY REGINA PROTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
155 HWY 50, STATELINE, NV 89449
(775) 589-8946
(775) 588-1354
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14443
NV
208000000X
Pediatrics Physician
A122555
CA
2084P0800X
Psychiatry Physician
Primary
14443
NV
2084P0800X
Psychiatry Physician
A122555
CA

Other

Enumeration date
06/27/2007
Last updated
07/16/2014
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