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NPI Code Detail

MEDICARE: TRACIE LEIGH LAMB

MEDICARE: TRACIE LEIGH LAMB
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
1363LP0200XPediatric Nurse Practitioner31384SC

General Provider Information

NPI Number : 1770440646
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACIE LEIGH LAMB
Provider Business Mailing Address
First Line : 1254 WEATHER HELM DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-2445
Country : US
Telephone Number : 484-431-9733
Fax Number :
Provider Business Practice Location Address
First Line : 2713 DANTZLER DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9005
Country : US
Telephone Number : 843-764-1722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/08/2026

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Directions to “ TRACIE LEIGH LAMB ” Practice Location

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