person
Tracy Lynn Liberatore, PA-C
Medical Physician Assistant in Wilkes Barre, Pennsylvania
NPI 1396878922

Tracy Lynn Liberatore is a Medical Physician Assistant based in Wilkes Barre, PA and is specialized in Medical. Tracy Lynn Liberatore practices in Wilkes Barre, PA and has the professional credentials of PA-C. The NPI Number for Tracy Lynn Liberatore is 1396878922 and holds a License No. MA051327 (Pennsylvania).

The current practice location address for Tracy Lynn Liberatore is 150 Mundy St, Wilkes Barre, PA and can be reached out via phone at 570-824-0930 and via fax at 570-824-7755. You can also correspond with Tracy Lynn Liberatore through the mailing address at 150 MUNDY ST, WILKES BARRE, PA - 18702-6830 (mailing address contact number: 570-824-0930).

Location: 150 Mundy St, Wilkes Barre, PA, 18702-6830
person
Provider Profile Details
NPI Number
1396878922
Provider Name
Tracy Lynn Liberatore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
150 Mundy St, Wilkes Barre, PA, 18702-6830
Phone Number
570-824-0930
Fax Number
570-824-7755
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00388511 01 PA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
150 Mundy St
City
State
Zip
18702-6830
Phone Number
570-824-0930
Fax Number
570-824-7755
person
Provider Business Mailing Address Details
Address
150 Mundy St
City
State
Zip
18702-6830
Phone Number
570-824-0930
Fax Number
570-824-7755
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA051327 (Pennsylvania)
Definition
Definition to come...
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