Individual
LAETITIA TCHATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 MEDICAL ARTS BLVD STE 100, ANDERSON, IN 46011-3459
(765) 298-5700
(765) 298-4913
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01091236A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2020
Last updated
10/16/2023
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