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Tracy Elaine Lane, AGPCNP-CNP
Adult Health Nurse Practitioner in Hammon, Oklahoma
NPI 1073099503

Tracy Elaine Lane is an Adult Health Nurse Practitioner based in Hammon, OK and is specialized in Adult Health. Tracy Elaine Lane practices in Hammon, OK and has the professional credentials of AGPCNP-CNP. The NPI Number for Tracy Elaine Lane is 1073099503 and holds a License No. 71743 (Oklahoma).

The current practice location address for Tracy Elaine Lane is 20169 E 960 Rd, Hammon, OK and can be reached out via phone at 580-309-0461.

Location: 20169 E 960 Rd, Hammon, OK, 73650-5032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073099503
Provider Name
Tracy Elaine Lane
Credential
AGPCNP-CNP
Provider Entity Type
Individual
Gender
Female
Address
20169 E 960 Rd, Hammon, OK, 73650-5032
Phone Number
580-309-0461
Fax Number
Provider Enumeration Date
07/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20169 E 960 Rd
City
Hammon
State
Oklahoma
Zip
73650-5032
Phone Number
580-309-0461
Fax Number
person
Provider Business Mailing Address Details
Address
20169 E 960 Rd
City
Hammon
State
Oklahoma
Zip
73650-5032
Phone Number
580-309-0461
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
71743 (Oklahoma)
Definition
Definition to come...
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