Lockett, Tracy
Lockett, Tracy is an sole proprietor health care provider with primary practice located at 2676 Sw Immanuel Dr , Palm City FL 34990-2738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lockett, Tracy can be contacted via phone (772) 219-4444.Contact Information
Primary practice address
2676 Sw Immanuel Dr
Palm City FL 34990-2738
Phone: (772) 219-4444
Fax: (772) 219-0550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP 2706482 | Florida |
Profile Details
| NPI number | 1659481158 |
|---|---|
| LBN Legal business name | Lockett, Tracy |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1659481158 | NPPES |
| Florida | MEDICAID | 306930300 |
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