Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY ELAINE LANE, AGPCNP-CNP
ActiveAdult Health Nurse Practitioner · HAMMON, OK
Registration Details
- NPI Number
- 1073099503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2018 (7.7691079444295 yrs)
- Last Updated
- Jul 18, 2018
- License
-
71743 (OK)
Practice Information
- Address
-
20169 E 960 RDHAMMON, OK, 736505032Browse OK providers · Browse ZIP 73650
- Phone
- 5803090461
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.