Dr TRACY L INGHAM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.
LAKEVIEW CLINIC, LTD.
424 W STATE HWY 5
WACONIA
MN
553871723
Tel: 9524424461
Npi | 1821379272 |
Pac Id | 3375717366 |
Professional Enrollment Id | I20111201000618 |
Last Name | INGHAM |
First Name | TRACY |
Middle Name | L |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | LAKEVIEW CLINIC, LTD. |
Group Practice Pac Id | 6002801453 |
Number Of Group Practice Members | 44 |
Line 1 Street Address | 424 W STATE HWY 5 |
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City | WACONIA |
State | MN |
Zip Code | 553871723 |
Phone Number | 9524424461 |
Hospital Affiliation Ccn 1 | 240056 |
Hospital Affiliation Lbn 1 | RIDGEVIEW MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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