Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 43791 | TN |
N | 208000000X | Pediatrician | 43791 | TN |
NPI | 1063687630 |
---|---|
Provider Name | Dr. Tracy Lynn Mcgregor |
First Address | Cambridge, MA 02142-1103 |
Second Address | Cambridge, MA 02142-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 14/12/2017 |