Individual
TRAC SY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-5354
Mailing address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-5354
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
07/14/2024
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