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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACEY LEA LIPUT

Active Sole Proprietor

TRACEY LEA LIPUT is a Prosthetic/Orthotic Supplier healthcare provider located in PORT ORANGE, Florida. NPI 1487524302 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · PORT ORANGE, FL

Registration Details

NPI Number
1487524302
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2025 (0.58106918977328 yrs)
Last Updated
Nov 6, 2025
Sole Proprietor
Yes

Practice Information

Address
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL, 321293001
Browse FL providers · Browse ZIP 32129
Phone
3862931016
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
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.