Raven Boutte

NPI #1982374187 in Lafayette, Louisiana

Provider Information

NPI Number
1982374187
Entity Type
Individual
Name
Raven Boutte
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pathology - Clinical Pathology
Enumeration Date
Sep 18, 2021
Last Updated
Sep 18, 2021

Practice Location

Address
4510 AMBASSADOR CAFFERY PKWAY
ZIP Code
70508
Phone
(337) 458-3835

Specialties & Taxonomy Codes

Specialty
Pathology - Clinical PathologyClinical Pathology

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