Provider Demographics
NPI:1558940981
Name:CHACHOUTE, LOURDIE (ARNP)
Entity type:Individual
Prefix:
First Name:LOURDIE
Middle Name:
Last Name:CHACHOUTE
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:LOURDIE
Other - Middle Name:
Other - Last Name:LABBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16838 CORNERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-1900
Mailing Address - Country:US
Mailing Address - Phone:407-919-5131
Mailing Address - Fax:
Practice Address - Street 1:52 W UNDERWOOD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1110
Practice Address - Country:US
Practice Address - Phone:407-841-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-04
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011950363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily