Search › Louisiana › 3747P1801X
Latassia Provitt
NPI 1447790951 · on the registry since 2017 · sole proprietor
Practice
- Address
- 115 Rue Felicite
Lafayette, LA 70507 - Phone
- (337) 326-6562
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 3747P1801X
374U00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana