TRACY LYNN INGHAM

WACONIA, MN
NPI1821379272
Former NameTRACY LYNN STAMBOLDJIEV
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MN  A0611105)
Enumeration Date2011-08-30
Last Update Date2016-11-03
Business Address
Mrs. TRACY LYNN INGHAM NP-C
424 W STATE HIGHWAY 5 LAKEVIEW CLINIC LTD
WACONIA, MN 55387-1723
Phone number: 952-442-4461
Mailing Address
Mrs. TRACY LYNN INGHAM NP-C
3603 RAINBOW DR
MINNETONKA, MN 55345-1036
Phone number: 651-895-9464
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