Provider Demographics
NPI:1437345055
Name:LUCHSINGER, TRACY M (PA)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:M
Last Name:LUCHSINGER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:14000 NICOLLET AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-5790
Mailing Address - Country:US
Mailing Address - Phone:952-428-0200
Mailing Address - Fax:952-428-0195
Practice Address - Street 1:14000 NICOLLET AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5790
Practice Address - Country:US
Practice Address - Phone:952-428-0200
Practice Address - Fax:052-428-0195
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2021-03-11
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Provider Licenses
StateLicense IDTaxonomies
MN363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant