person
Tracey Lasane
Driver in Lake Park, Georgia
NPI 1134824998

Tracey Lasane is a Driver based in Lake Park, GA. Tracey Lasane practices in Lake Park, GA. The NPI Number for Tracey Lasane is 1134824998 and holds a License No. 053089940 (Georgia).

The current practice location address for Tracey Lasane is 5114 Diamond Dr, Lake Park, GA and can be reached out via phone at 850-739-1233.

Location: 5114 Diamond Dr, Lake Park, GA, 31636-3087
person
Provider Profile Details
NPI Number
1134824998
Provider Name
Tracey Lasane
Credential
Provider Entity Type
Individual
Gender
Female
Address
5114 Diamond Dr, Lake Park, GA, 31636-3087
Phone Number
850-739-1233
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5114 Diamond Dr
City
State
Zip
31636-3087
Phone Number
850-739-1233
Fax Number
person
Provider Business Mailing Address Details
Address
5114 Diamond Dr
City
State
Zip
31636-3087
Phone Number
850-739-1233
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
053089940 (Georgia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
semi-verified symbol
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