Individual
JANE TRACY HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
204 W. WASHINGTON ST., WASHINGTON AND LEE UNIVERSITY, STUDENT HEALTH CENTER, LEXINGTON, VA 24450-2116
(540) 458-8401
(540) 458-8404
Mailing address
204 W. WASHINGTON ST., WASHINGTON AND LEE UNIVERSITY, STUDENT HEALTH CENTER, LEXINGTON, VA 24450-2116
(540) 458-8401
(540) 458-8404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101038837
STATE MEDICAL LICENSE
VA
01
—
05002831106
ME NUMBER
VA
Enumeration date
08/10/2006
Last updated
07/08/2007
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