Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI LYDRICKA VAUGHN, MD
ActiveTRACI LYDRICKA VAUGHN, MD is a Otolaryngology healthcare provider located in BASTROP, Louisiana. NPI 1902840697 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · BASTROP, LA
Registration Details
- NPI Number
- 1902840697
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2006 (20.199910061153 yrs)
- Last Updated
- Jan 8, 2015
- Licenses
-
023914 (LA)M3777 (TX)
Practice Information
- Address
-
221 W HICKORY AVEBASTROP, LA, 712204551Browse LA providers · Browse ZIP 71220
- Phone
- 3182816111
- Fax
- 3182814429
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.