Tracey Lasane
Tracey Lasane is a Driver in Lake Park, Georgia. Licensed in Georgia. Registered with an NPI since 2023.
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
5114 Diamond DrLake Park, GA 31636-3087
Phone: (850) 739-1233
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 053089940 (GA) |
|---|
Record details
| NPI number | 1134824998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 3, 2023 |
| Last updated in NPPES | April 3, 2023 |
| Certification date | April 2, 2023 |
| Mailing address | 5114 Diamond Dr, Lake Park, GA 31636-3087 |