Search › Louisiana › 207ZC0006X
Raven Boutte
NPI 1982374187 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4510 Ambassador Caffery Pkway
Lafayette, LA 70508 - Phone
- (337) 458-3835
Registry record
- Primary taxonomy
- 207ZC0006X
207ZC0006X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-18
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