TRACY LEE PRIDE

LANSING, MI
NPI1548375934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004110)
Enumeration Date2006-08-19
Last Update Date2019-09-20
Business Address
Mrs. TRACY LEE PRIDE PA
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912-1806
Phone number: 517-364-9650
Mailing Address
Mrs. TRACY LEE PRIDE PA
PO BOX 13008
LANSING, MI 48901-3008
Phone number: 517-364-9650
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