| Raven Boutte, | |
|
4510 Ambassador Caffery Pkway, Lafayette, LA 70508 | |
| (337) 458-3835 | |
| Not Available |
| Full Name | Raven Boutte |
|---|---|
| Gender | Female |
| Speciality | Pathology - Clinical Pathology |
| Location | 4510 Ambassador Caffery Pkway, Lafayette, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982374187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0006X | Pathology - Clinical Pathology | 1003007 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Boutte, 100 Mcdonald St Apt D17, Lafayette, LA 70506 Ph: (337) 458-3835 | Raven Boutte, 4510 Ambassador Caffery Pkway, Lafayette, LA 70508 Ph: (337) 458-3835 |
Gregg Maurice Barre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-4640 Fax: 337-470-4051 | |
Dr. Tricia Rood Lowrey, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1810 Bertrand Dr, Lafayette, LA 70506 Phone: 337-233-1899 | |
Dr. Joel Carney, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7679 | |
Joan Grode Marshak, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9113 Fax: 337-261-2697 | |
Dr. Peter Bozner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Josh Anthony Showalter, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd Fl 3, Lafayette, LA 70503 Phone: 337-289-7679 Fax: 337-289-7680 | |
Dr. Stephanie B. Hanson, MD Pathology Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-261-5151 |