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Contact Information

YVETTE M DESLATTE, MD
1015 CRESCENT AVE
LOCKPORT, LA70374
 Phone: 985-532-1620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for YVETTE M DESLATTE · (Female)

NPI # 1386611036
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 04/30/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 022597
  • LA License # MD022597
  • LA Medicaid 1483869
  • Other 1386611036 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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