Dr Tracy Lynn Lacanne, DDS is a
Dentist - General Practice based in Stephenson, Michigan. Dr Tracy Lynn Lacanne is licensed to practice in Michigan (license number 2901020722) and her current practice location is
N111 Thoune St, Stephenson, Michigan. She can be reached at her office (for appointments etc.) via phone at
(920) 299-2999.
NPI number for Dr Tracy Lynn Lacanne is 1457611246 and her current mailing address is N111 Thoune St, Stephenson, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457611246.
Healthcare Provider's Profile
Full Name | Dr Tracy Lynn Lacanne |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | N111 Thoune St, Stephenson, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457611246
- Provider Enumeration Date: 05/25/2012
- Last Update Date: 06/08/2017
Medical Identifiers
Medical identifiers for Dr Tracy Lynn Lacanne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457611246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 6910-15 (Wisconsin) | Secondary |
1223G0001X | Dentist - General Practice | 2901020722 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tracy Lynn Lacanne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tracy Lynn Lacanne, DDS N111 Thoune St, Stephenson, MI 49887 Ph: () - | Dr Tracy Lynn Lacanne, DDS N111 Thoune St, Stephenson, MI 49887-8926 Ph: (920) 299-2999 |
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