MEDICARE: TRACY ALANA LEMELLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD.025821	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	545747	OTHER	LA	WELLCARE

General Provider Information

NPI Number	:	1639202112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY ALANA LEMELLE M.D.

Provider Business Mailing Address
First Line	:	5000 ODONAVAN BLVD
Second Line	:
City	:	WALKER
State	:	LA
Zip	:	70785-6351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 ODONAVAN BLVD
Second Line	:
City	:	WALKER
State	:	LA
Zip	:	70785-6351
Country	:	US
Telephone Number	:	225-369-8117
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	03/27/2015

Similar Medicare Providers

1033131040 — CATHERINE CALDWELL SPILLER MD
Practice Location Address:

5000 O DONOVAN BLVD , SUITE 404
WALKER, LA
70785-6351

Practice Phone: 225-765-5500
Practice Fax: 225-369-8140

1023336724 — MATTHEW SELMAN WALKER M.D.
Practice Location Address:

5000 ODONAVAN BLVD , STE 404
WALKER, LA
70785-6351

Practice Phone: 225-765-5500
Practice Fax: 225-369-8140

1144529959 — JONELL HAMILTON BOLTON
Practice Location Address:

5000 O'DONOVAN BLVD , SUITE 404
WALKER, LA
70785-6351

Practice Phone: 225-271-6550
Practice Fax: 225-271-6551

1942646567 — DR. MICHELLE ENGELHORN DUHE M.D.
Practice Location Address:

5000 ODONAVAN BLVD , SUITE 404
WALKER, LA
70785-6351

Practice Phone: 225-765-5500
Practice Fax: 225-369-8140

1992269062 — HARMONI TEXLA, LLC
Practice Location Address:

5000 ODONAVAN BLVD STE 409
WALKER, LA
70785-6351

Practice Phone: 225-515-5711
Practice Fax:

1518968262 — JACK R REID JR. MD
Practice Location Address:

5000 ODONAVAN BLVD STE 307
WALKER, LA
70785-6355

Practice Phone: 225-791-3117
Practice Fax: 225-791-3122

Directions to “ TRACY ALANA LEMELLE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.