Charles J. Lastrapes, D.O., LLC
Family Medicine in Cape Girardeau, MO. Organization (NPI-2).
NPI number1497765994
StatusActive
Last updated in NPPESMay 30, 2008
Details
- NPI
- 1497765994
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles J. Lastrapes, D.O., LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- May 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 112343 | MO | Yes |
Practice location
937 Broadway StSuite 203
Cape Girardeau, MO 63701-5493
Phone 573-335-8288
Mailing address
937 Broadway StSuite 203
Cape Girardeau, MO 63701-5493
Phone 573-335-8288
Authorized official
Charles Joseph Lastrapes
Physician
5733358282
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