Individual
TRACIE LEBLEU PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433
(985) 875-2828
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
308643
LA
207N00000X
Dermatology Physician
4301106872
MI
Other
Enumeration date
03/20/2013
Last updated
12/04/2018
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