Individual
TRACY MICHELLE LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 519-8104
(256) 519-8327
Mailing address
4601 WHITESBURG DR SE STE 201, HUNTSVILLE, AL 35802-1678
(256) 880-1050
(256) 213-4681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-079663
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-079663
AL
Other
Enumeration date
08/05/2015
Last updated
09/10/2021
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