Individual
TRACIE LEJEUNE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
281 MOOSA BLVD, EUNICE, LA 70535-3638
(337) 457-2200
(337) 457-2203
Mailing address
1243 SCHULTZ ROAD, IOTA, LA 70543
(337) 230-9280
(337) 457-2203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06739
LA
Other
Enumeration date
02/08/2012
Last updated
07/22/2015
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