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DR. CHARMAINE LASTRAPES VENTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5439 AIRLINE HWY, BATON ROUGE, LA 70805-1712
(225) 358-4853
(225) 358-2450
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
06954R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1974269
LA
Enumeration date
06/17/2006
Last updated
05/17/2021
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