Individual provider · Type 1 NPI

Thomas Lyman Burn Tracy, MA

Student in an Organized Health Care Education/Training Program · Concord, CA

NPI number 1851582282 Active

Practice location

1333 Willow Pass Rd Ste 102
Concord, CA 94520-5225

Call (925) 825-1793 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851582282

Thomas Lyman Burn Tracy, MA's National Provider Identifier is 1851582282, issued on Aug 9, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Concord, CA. The record was last updated on Aug 9, 2007.