Individual
LAUREN REBECCA TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16777 MEDICAL CENTER DRIVE, BATON ROUGE, LA 70816
(225) 761-5200
(225) 761-5558
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200581
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2322745
—
LA
Enumeration date
10/09/2012
Last updated
01/13/2022
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