Individual
TRACY LEE LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1114 SW 146TH ST, BURIEN, WA 98166-1434
(206) 226-3681
Mailing address
1114 SW 146TH ST, BURIEN, WA 98166-1434
(206) 226-3681
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014454
WA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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