Tracey Lasane

Driver · Lake Park, GA

Individual Active NPI

NPI number 1134824998

Practice location

5114 Diamond Dr
Lake Park, GA 31636-3087
Phone
(850) 739-1233

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NPI record

NPI
1134824998
Entity type
Individual (Type 1)
Enumeration date
April 3, 2023
Last updated
April 3, 2023
Certified
April 2, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X 053089940 GA

About Tracey Lasane

Tracey Lasane is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 5114 Diamond Dr, Lake Park, GA 31636-3087. The NPI number 1134824998 was assigned on April 3, 2023 and the record was last updated on April 3, 2023.

Tracey Lasane lists a license in the registry: #053089940 (GA) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracey Lasane?

The NPI number is 1134824998.

What is the phone number of Tracey Lasane?

The phone number listed for the practice location is (850) 739-1233.

Where is Tracey Lasane located?

5114 Diamond Dr, Lake Park, GA 31636-3087.

What is the taxonomy code for Tracey Lasane?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.