| Doctor Name: | TRACY L LEE |
| NPI Number: | 1083069736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00630800 |
| Business Practice Address: | 755 Memorial Pkwy Suite 112 Phillipsburg, NJ - 088652748 |
| Business Phone Number: | 8556916897 |
| Business Fax Number: | |
| Mailing Address: | 800 Ostrum St, Suite 102 FOUNTAIN HILL |
| State: | PA |
| Postal Code: | 180151015 |
| Phone Number: | 6106916897 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2016 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00630800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |