Individual provider · Type 1 NPI

Tracey Lasane

Driver · Lake Park, GA

NPI number 1134824998 Active

Practice location

5114 Diamond Dr
Lake Park, GA 31636-3087

Call (850) 739-1233 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X053089940 (GA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1134824998

Tracey Lasane's National Provider Identifier is 1134824998, issued on Apr 3, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lake Park, GA. The record was last updated on Apr 3, 2023.