Individual
DR. WARREN EDMUND TRASK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 701, BATON ROUGE, LA 70808-4370
(225) 765-8648
(225) 765-7898
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-8648
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD014690
LA
2084P0804X
Child & Adolescent Psychiatry Physician
MD014690
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02257585
—
MS
05
—
1301558
—
LA
Enumeration date
07/28/2005
Last updated
02/03/2023
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