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 2024-04-29 00:39:29 UTC
LAST UPDATED 2024-04-29 00:39:29 UTC