NPI 1396103552 TRACY LUCAS MACON GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Tracy Lucas - NPI: 1396103552

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: TRACY LUCAS
NPI Number: 1396103552
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: SLP005235
Business Practice Address: 127 River Forest Drive
Macon, GA - 312116323
Business Phone Number: 4787319343
Business Fax Number:
Mailing Address: 127 River Forest Dr,
MACON
State: GA
Postal Code: 312116323
Phone Number:
Fax Number:
NPI Enumeration Date: 02/03/2016
NPI Last Update Date: 02/03/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: SLP005235
Healthcare Provider Taxonomy:
(Secondary)
Y
State: GA
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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