Individual
DR. TRAC T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE N511, MARRERO, LA 70072
(504) 349-6301
(504) 349-6308
Mailing address
4409 UTICA ST, SUITE 100, METAIRIE, LA 70006
(504) 457-3687
(504) 620-0250
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
022297
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480401
—
LA
Enumeration date
11/15/2005
Last updated
07/08/2007
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