Raven Boutte, - Pathology in Lafayette, LA

Raven Boutte, is a Pathology - Clinical Pathology physician based in Lafayette, Louisiana. Raven Boutte is licensed to practice in Louisiana (license number 1003007) and her current practice location is 4510 Ambassador Caffery Pkway, Lafayette, Louisiana. She can be reached at her office (for appointments etc.) via phone at (337) 458-3835.

NPI number for Raven Boutte is 1982374187 and her current mailing address is 100 Mcdonald St Apt D17, Lafayette, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982374187.

Contact Information

Raven Boutte,
4510 Ambassador Caffery Pkway,
Lafayette, LA 70508
(337) 458-3835
Not Available



Physician's Profile

Full NameRaven Boutte
GenderFemale
SpecialityPathology - Clinical Pathology
Location4510 Ambassador Caffery Pkway, Lafayette, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982374187
  • Provider Enumeration Date: 09/18/2021
  • Last Update Date: 09/18/2021

Medical Identifiers

Medical identifiers for Raven Boutte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982374187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0006XPathology - Clinical Pathology 1003007 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raven Boutte is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Raven Boutte,
100 Mcdonald St Apt D17,
Lafayette, LA 70506

Ph: (337) 458-3835
Raven Boutte,
4510 Ambassador Caffery Pkway,
Lafayette, LA 70508

Ph: (337) 458-3835

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Pathology Doctors in Lafayette, LA

Gregg Maurice Barre, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508
Phone: 337-470-4640    Fax: 337-470-4051
Dr. Joel Carney, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503
Phone: 337-289-7679    
Joan Grode Marshak, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508
Phone: 337-521-9113    Fax: 337-261-2697
Dr. Peter Bozner, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503
Phone: 337-289-7991    
Josh Anthony Showalter, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1214 Coolidge Blvd Fl 3, Lafayette, LA 70503
Phone: 337-289-7679    Fax: 337-289-7680
Dr. Stephanie B. Hanson, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508
Phone: 337-261-5151    
M'liss Crosier, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 611 Saint Landry St, Lafayette, LA 70506
Phone: 337-234-3659    Fax: 337-232-6962

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