Provider Demographics
NPI:1497753842
Name:CHAUVIN, LAURA CASTEEL (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:CASTEEL
Last Name:CHAUVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5478
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70302-5478
Mailing Address - Country:US
Mailing Address - Phone:985-493-4787
Mailing Address - Fax:985-449-2560
Practice Address - Street 1:608 N ACADIA RD
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301
Practice Address - Country:US
Practice Address - Phone:985-493-4787
Practice Address - Fax:985-449-2560
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA08523R207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1992569Medicaid
LAF81123Medicare UPIN
LA5U364CY03Medicare PIN
LAF81123Medicare UPIN