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Individual

DR. TRICIA QUINN TEBBOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
653 W 70TH ST, SHREVEPORT, LA 71106-2949
(318) 636-8389
(318) 636-8389
Mailing address
4037 BARBE WOOD DR, LAKE CHARLES, LA 70605-2352
(337) 478-8744

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024380
LA

Other

Enumeration date
02/23/2011
Last updated
09/21/2023
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