Individual
TRACY A. LACINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2771 OAKDALE BLVD STE 8, CORALVILLE, IA 52241-9747
(319) 936-1319
(319) 665-3781
Mailing address
2771 OAKDALE BLVD. STE. 8, CORALVILLE, IA 52241
(319) 936-1319
(319) 665-3781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0067686
IA
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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