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Tracey Russell
NPI 1639309636 · on the registry since 2009
Practice
- Address
- 1053 East Highland Dr
Lakeland, FL 33813 - Phone
- (321) 961-3489
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-14
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 Florida