Individual
TRACY ALANA LEMELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5000 ODONAVAN BLVD, WALKER, LA 70785-6351
(225) 369-8117
Mailing address
5000 ODONAVAN BLVD, WALKER, LA 70785-6351
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.025821
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044041
—
LA
01
—
545747
WELLCARE
LA
Enumeration date
03/13/2007
Last updated
03/27/2015
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