Individual
TRACY LYNETTE LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7000
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190377
—
SC
Enumeration date
06/06/2006
Last updated
04/10/2013
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