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NPI Code Detail

MEDICARE: TRACY P LEMMER FNP

MEDICARE:   TRACY P LEMMER  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner6448WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851774772
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY P LEMMER FNP
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 5818 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2247
Country : US
Telephone Number : 414-449-2114
Fax Number : 414-449-9299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2015
Last Update Date : 12/01/2025

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Directions to “ TRACY P LEMMER FNP” Practice Location

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