Individual
MS. TRACY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
321 N MARKET ST, LANCASTER, PA 17603-3003
(717) 394-5334
Mailing address
321 N MARKET ST, LANCASTER, PA 17603-3003
(717) 394-5334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN269624
PA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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