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Individual

SHANTELL CEASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2390 WEST CONGRESS STREET., LAFAYETTE, LA 70506
(337) 261-6000
(337) 261-6003
Mailing address
324 DULLES DRIVE, LAFAYETTE, LA 70506
(337) 706-1571
(337) 261-2697

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
307623
LA

Other

Enumeration date
04/07/2015
Last updated
11/27/2018
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