Davis, Tracy Lynn
Davis, Tracy Lynn is an individual health care provider with primary practice located at 2495 N Desert Links Dr Apt 85 , Tucson AZ 85715-3736. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Davis, Tracy Lynn can be contacted via phone (602) 320-6105.Contact Information
Primary practice address
2495 N Desert Links Dr Apt 85
Tucson AZ 85715-3736
Phone: (602) 320-6105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 41612 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 41612 | Arizona |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | A99627 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | A99627 | California |
Profile Details
| NPI number | 1447287362 |
|---|---|
| LBN Legal business name | Davis, Tracy Lynn |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Aug 10th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447287362 | NPPES |
| Arizona | MEDICAID | 429834 |
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