Louisiana
Board of Licensing
WALLACE TRACINA ANN
Medical
License number
CLP.G04240-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Our Lady of The Lake RMC, 5000 Hennessey BLVD, Baton Rouge, LA 70808
louisianalicensing.com
ID 21817912
LAST UPDATED 2026-06-21 17:33:08 UTC
LAST UPDATED 2026-06-21 17:33:08 UTC