LUANN MARIE TRACEY

SOUTH BEND, IN
NPI1528358405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71003603A)
Enumeration Date2011-04-13
Last Update Date2016-06-16
Business Address
-- LUANN MARIE TRACEY FNP
1708 HIGH ST
SOUTH BEND, IN 46613-2633
Phone number: 574-647-1400
Mailing Address
-- LUANN MARIE TRACEY FNP
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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