Tracey Lynn Capps, LDO
NPI #1497587596 in Lake City, South Carolina
Provider Information
- NPI Number
- 1497587596
- Entity Type
- Individual
- Name
- Tracey Lynn Capps, LDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO
- Enumeration Date
- Aug 16, 2024
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 900 US 52 HWY
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-5906
- Phone
- (843) 394-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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