Provider Demographics
NPI:1487054680
Name:STEINMETZ, TRACY LYNN (PHLEBOTOMIST)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:LYNN
Last Name:STEINMETZ
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 SELMA AVE
Mailing Address - Street 2:
Mailing Address - City:INTERLACHEN
Mailing Address - State:FL
Mailing Address - Zip Code:32148-2570
Mailing Address - Country:US
Mailing Address - Phone:386-227-8726
Mailing Address - Fax:386-659-1359
Practice Address - Street 1:822 SELMA AVE
Practice Address - Street 2:
Practice Address - City:INTERLACHEN
Practice Address - State:FL
Practice Address - Zip Code:32148-2570
Practice Address - Country:US
Practice Address - Phone:386-227-8726
Practice Address - Fax:386-659-1359
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker