Provider Demographics
NPI:1407345051
Name:LINTNER, TRACY ANNE (CNP)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:ANNE
Last Name:LINTNER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MRS
Other - First Name:TRACY
Other - Middle Name:ANNE
Other - Last Name:LINTNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNP
Mailing Address - Street 1:73D WINTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-3716
Mailing Address - Country:US
Mailing Address - Phone:978-686-3017
Mailing Address - Fax:978-685-4280
Practice Address - Street 1:73 WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2836
Practice Address - Country:US
Practice Address - Phone:978-686-3017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN275363207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine