Boutte, Raven

Boutte, Raven is an sole proprietor health care provider with primary practice located at 4510 Ambassador Caffery Pkway , Lafayette LA 70508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology, which is considered as her primary health care specialty. Boutte, Raven can be contacted via phone (337) 458-3835.

Contact Information

Primary practice address
4510 Ambassador Caffery Pkway Lafayette LA 70508
Phone: (337) 458-3835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 1003007 Louisiana

Profile Details

NPI number 1982374187
LBN Legal business name Boutte, Raven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2021
Last updated Sep 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers