Individual
DR. TRACIE MANUEL BELLANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1805 JACKSON ST, MONROE, LA 71202-2529
(318) 966-4000
(318) 966-7364
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4000
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024891
LA
207R00000X
Internal Medicine Physician
2009-01134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569119
—
LA
Enumeration date
07/06/2006
Last updated
05/20/2024
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