Individual
TRACY JO LORDS
Active
Individual
TRACY JO LORDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11013350A
IN
207L00000X
Anesthesiology Physician
Primary
12371
MT
207L00000X
Anesthesiology Physician
2828
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256574
—
WI
Enumeration date
05/28/2008
Last updated
04/08/2024
Update your record
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