Tracy Lynne Russell
MD | Pediatrics | Female
Tracy Lynne Russell, MD is a Aberdeen, Washington based Pediatric doctor with medical specialization in
General Pediatrics. Tracy Lynne Russell is also known as
Tracy Lynn Knights.
Current practice location of Tracy Lynne Russell is
611 N F St, Ste 201, Aberdeen, Washington - 98520-2667. She can be contacted on phone at
360-533-7677 and fax number 360-533-0470.
Tracy Lynne Russell is a sole proprietor of her business.
NPI number (Unique professional ID) for Tracy Lynne Russell is
1629040894 which was assigned by NPPES on 02 Feb, 2006 and it was last updated on 19 Jul, 2011.
Tracy Lynne Russell license number is
MD00046873 for Pediatrics (208000000X) in Washington.
Tracy Lynne Russell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tracy Lynne Russell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tracy Lynne Russell |
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| Other Name : | Tracy Lynn Knights |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Tracy Lynne Russell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 611 N F St, Ste 201
Aberdeen, WA, 98520-2667
United States |
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| Phone Number : | 360-533-7677 |
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| Fax Number : | 360-533-0470 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629040894 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Feb, 2006 |
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| Last Updated On : | 19 Jul, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tracy Lynne Russell are as mentioned. Primary taxonomy code for Tracy Lynne Russell, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD00046873 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Tracy Lynne Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1123256 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 611 N F St, Ste 201
Aberdeen, WA, 98520-2667
United States |
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| Phone Number : | 360-533-7677 |
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| Fax Number : | 360-533-0470 |
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Business Location:
Patients can refer following map for directions to
Tracy Lynne Russell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.