Mendez, Traceyan R.

Mendez, Traceyan R. is an individual health care provider with primary practice located at 750 Route 739 , Lords Valley PA 18428-6058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mendez, Traceyan R. can be contacted via phone (570) 775-7100.

Contact Information

Primary practice address
750 Route 739 Lords Valley PA 18428-6058
Fax: (570) 775-0950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 057831 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD453022 Pennsylvania

Profile Details

NPI number 1144260126
LBN Legal business name Mendez, Traceyan R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 6th, 2023 - about 3 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.

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