Tracy Nicole Lane, DPh
Pharmacist in Chattanooga, TN. Individual provider (NPI-1).
NPI number1083102495
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1083102495
- Entity type
- Individual (NPI-1)
- Name
- Tracy Nicole Lane
- Credential
- DPh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2018
- Last updated
- May 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0000011185 | TN | Yes |
Practice location
8101 E Brainerd RdChattanooga, TN 37421-4302
Phone 423-508-1194
Mailing address
3821 Lerch StChattanooga, TN 37411-4531
Phone 423-605-0367
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 288 Pharmacist providers in Chattanooga · All 9,197 providers in Chattanooga
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