Individual
MS. TRACI D. WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 655-6422
(225) 341-5903
Mailing address
8008 BLUEBONNET BLVD, APT. 12-5, BATON ROUGE, LA 70810-7800
(225) 247-9759
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.025775
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044130
—
LA
Enumeration date
03/28/2007
Last updated
03/15/2017
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