MEDICARE: TREMEKA COLEMAN

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1356719728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREMEKA COLEMAN

Provider Business Mailing Address
First Line	:	2133 SILVERSIDE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4179
Country	:	US
Telephone Number	:	225-250-5567
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 COLONIAL DR
Second Line	:	D
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	:	09/02/2015
Last Update Date	:	06/18/2021

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Directions to “ TREMEKA COLEMAN ” Practice Location

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