Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVEN BOUTTE
Active Sole ProprietorRAVEN BOUTTE is a Clinical Pathology healthcare provider located in LAFAYETTE, Louisiana. NPI 1982374187 is currently active in the NPPES registry. Verify at CMS.
Clinical Pathology · LAFAYETTE, LA
Registration Details
- NPI Number
- 1982374187
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2021 (4.8888644037485 yrs)
- Last Updated
- Sep 18, 2021
- License
-
1003007 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4510 AMBASSADOR CAFFERY PKWAYLAFAYETTE, LA, 70508Browse LA providers · Browse ZIP 70508
- Phone
- 3374583835
- Primary Specialty
-
Clinical Pathology
207ZC0006X
Other Clinical Pathology Providers in LAFAYETTE, LA
| Name | Credential | NPI |
|---|---|---|
| DR. BARBARA MARIE HERFEL | M.D. | 1447425657 |
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.