Individual
ALICIA GABRIELE CHAUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1410
(225) 374-1616
Mailing address
5246 BRITTANY DRIVE, BATON ROUGE, LA 70808-9136
(225) 757-4142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
322285
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2440152
—
LA
01
—
322285
STATE LICENSE
LA
Enumeration date
03/23/2017
Last updated
11/25/2020
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