Tracey Lasane
NPI 1134824998 · on the registry since 2023
Practice
- Address
- 5114 Diamond Dr
Lake Park, GA 31636 - Phone
- (850) 739-1233
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia