National Provider Identifier
Tracy Lynn Clark
Tracy Lynn Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 647-1314.
Profile Overview
- NPI
- 1366771750
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 14, 2009
- Last Updated
- October 22, 2012
Practice Location
- 2 Backus St
- Rochester, NY 14608
Phone: (585) 647-1314
Mailing Address
- 2 Backus St
- Rochester, NY 14608-1019
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1366771750
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Tracy
- Middle Name
- Lynn
- Mailing Street Address
- 2 Backus St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1019
- Mailing Country
- US
- Mailing Phone
- (585) 647-1314
- Practice Street Address
- 2 Backus St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608
- Practice Country
- US
- Practice Phone
- (585) 647-1314
- Enumeration Date
- December 14, 2009
- Last Updated
- October 22, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)