person
Kathy Lynne Tracy, MD
General Practice Physician in Longville, Louisiana
NPI 1942255070

Kathy Lynne Tracy is a General Practice Physician based in Lake Charles, LA. Kathy Lynne Tracy practices in Longville, LA and has the professional credentials of MD. The NPI Number for Kathy Lynne Tracy is 1942255070 and holds a License No. 023904 (Louisiana).

The current practice location address for Kathy Lynne Tracy is 176 Longville Church Rd, Longville, LA and can be reached out via phone at 337-794-5745.

Location: 176 Longville Church Rd, Longville, LA, 70601-8439
person
Provider Profile Details
NPI Number
1942255070
Provider Name
Kathy Lynne Tracy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
176 Longville Church Rd, Longville, LA, 70601-8439
Phone Number
337-794-5745
Fax Number
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1429082 05 LA
institution
Provider Business Practice Location Address Details
Address
176 Longville Church Rd
City
State
Zip
70652-5036
Phone Number
337-794-5745
Fax Number
person
Provider Business Mailing Address Details
Address
176 Longville Church Rd
City
State
Zip
70652-5036
Phone Number
337-794-5745
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
023904 (Louisiana)
Definition
Definition to come...
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