Provider Demographics
NPI:1982933941
Name:ROBBINS, TRACIE LYNNE (L AC)
Entity Type:Individual
Prefix:MS
First Name:TRACIE
Middle Name:LYNNE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 BERNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-1157
Mailing Address - Country:US
Mailing Address - Phone:610-373-7935
Mailing Address - Fax:610-373-9887
Practice Address - Street 1:1817 BERNVILLE RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1157
Practice Address - Country:US
Practice Address - Phone:610-373-7935
Practice Address - Fax:610-373-9887
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000013171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist