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NPI Code Detail

MEDICARE: TRAE RANELL MURRY

MEDICARE: TRAE RANELL MURRY
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1154250991
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAE RANELL MURRY
Provider Business Mailing Address
First Line : 711 COLONIAL DR STE D
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6549
Country : US
Telephone Number : 225-245-2162
Fax Number :
Provider Business Practice Location Address
First Line : 711 COLONIAL DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6549
Country : US
Telephone Number : 225-246-2162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ TRAE RANELL MURRY ” Practice Location

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