DR. TRACY LYNN KRUZICK MD NPI 1558424812

NPI Information

  • NPI: 1558424812
  • Provider Name: DR. TRACY LYNN KRUZICK, MD
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 80 ERDMAN WAY STE 315
    LEOMINSTER, MA
    ZIP 01453
  • Phone: (978) 537-4805

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NPI Details

DR. Tracy Lynn Kruzick, MD is an allergy immunology in Leominster, MA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Tracy Lynn Kruzick, MD NPI is 1558424812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 ERDMAN WAY STE 315
LEOMINSTER, MA
ZIP 01453-840
Phone: (978) 537-4805

The NPI 1558424812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 5/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology238418MASSACHUSETTSYes
2207K00000XAllergy & ImmunologyDR.0046645COLORADONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19000200004MEDICAIDCOLORADO
2029563OTHERCOLORADOKAISER COMMERCIAL NUMBER
3FK0056728OTHERCOLORADODEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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