Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY LASANE
ActiveTRACEY LASANE is a Driver healthcare provider located in LAKE PARK, Georgia. NPI 1134824998 is currently active in the NPPES registry. Verify at CMS.
Driver · LAKE PARK, GA
Registration Details
- NPI Number
- 1134824998
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2023 (3.3913020035493 yrs)
- Last Updated
- Apr 3, 2023
- License
-
053089940 (GA)
Practice Information
- Address
-
5114 DIAMOND DRLAKE PARK, GA, 316363087Browse GA providers · Browse ZIP 31636
- Phone
- 8507391233
- Primary Specialty
-
Driver
172A00000X
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.