Individual
TRACI LYDRICKA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 W HICKORY AVE, BASTROP, LA 71220-4551
(318) 281-6111
(318) 281-4429
Mailing address
1 NATCHITOCHES ST, APT 104, WEST MONROE, LA 71291-3161
(504) 376-3500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
023914
LA
207Y00000X
Otolaryngology Physician
M3777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H8818
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/15/2006
Last updated
01/08/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us