Doctor Name: | TRACY LYNN FRANZOS |
NPI Number: | 1861642969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MDR-5513 |
Business Practice Address: | 2480 Llewellyn Ave Fort George G Meade, MD - 207557081 |
Business Phone Number: | 3016778696 |
Business Fax Number: | |
Mailing Address: | 2480 Llewellyn Ave, FORT GEORGE G MEADE |
State: | MD |
Postal Code: | 207557081 |
Phone Number: | 3016778696 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 07/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MDR-5513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |