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Tracy Lake, LPN
Licensed Practical Nurse in Huntingdon, Pennsylvania
NPI 1235796962

Tracy Lake is a Licensed Practical Nurse based in Huntingdon, PA. Tracy Lake practices in Huntingdon, PA and has the professional credentials of LPN. The NPI Number for Tracy Lake is 1235796962 and holds a License No. PN107542L (Pennsylvania).

The current practice location address for Tracy Lake is 900 Bryan St Ste 5, Huntingdon, PA and can be reached out via phone at 814-643-6300 and via fax at 814-643-8776.

Location: 900 Bryan St Ste 5, Huntingdon, PA, 16652-2413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235796962
Provider Name
Tracy Lake
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
900 Bryan St Ste 5, Huntingdon, PA, 16652-2413
Phone Number
814-643-6300
Fax Number
814-643-8776
Provider Enumeration Date
05/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Bryan St Ste 5
City
Huntingdon
State
Pennsylvania
Zip
16652-2413
Phone Number
814-643-6300
Fax Number
814-643-8776
person
Provider Business Mailing Address Details
Address
900 Bryan St Ste 5
City
Huntingdon
State
Pennsylvania
Zip
16652-2413
Phone Number
814-643-6300
Fax Number
814-643-8776
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN107542L (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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