Individual
DR. STEPHEN LAWRENCE CHOUTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 METROPLEX BLVD STE B, PEARL, MS 39208-9202
(601) 664-2658
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
09094
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122276
—
MS
Enumeration date
05/09/2006
Last updated
03/27/2012
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