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Tracy Jacqueline Lord

Military Health Care Provider in Portsmouth, VA. Individual provider (NPI-1).

NPI number1972446292
StatusActive
Last updated in NPPESJul 31, 2026

Details

NPI
1972446292
Entity type
Individual (NPI-1)
Name
Tracy Jacqueline Lord
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2026
Certification date
Jul 31, 2026
Last updated
Jul 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171000000X Military Health Care Provider0116042626VAYes

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone 757-953-2518

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

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