Individual
MRS. TRACEY K REILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4827
(225) 924-9985
(225) 924-0884
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10554
LA
Other
Enumeration date
07/18/2005
Last updated
03/20/2026
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