Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raven Boutte

Individual provider Clinical Pathology Physician · NPI 1982374187

Raven Boutte is a Clinical Pathology Physician in Lafayette, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2021
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Practice location Address checks out

4510 Ambassador Caffery Pkway
Lafayette, LA 70508
Phone: (337) 458-3835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X · Licence 1003007 (LA)

Record details

NPI number1982374187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2021
Last updated in NPPESSeptember 18, 2021
Certification dateSeptember 18, 2021