NPI 1457626210

Tracy Lynn Hickman, CSTCSFA

Practitioner Surgical Assistant Boynton Beach, FL

Practice location

Address: 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319
Phone: (561) 737-8031
Mailing address: 1511 Lee CT, Lake Worth, FL 33461-6126

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 107076

Other Specialist/Technologist, Other providers in Florida →

Registry record

NPI: 1457626210
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2012
Record last updated: 13 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.