| Charles J. Lastrapes, D.O., LLC | |
|
937 Broadway St Suite 203 Cape Girardeau MO 63701-5493 | |
| (573) 335-8288 | |
| Not Available |
| Full Name | Charles J. Lastrapes, D.O., LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 937 Broadway St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Charles Joseph Lastrapes (PHYSICIAN) |
| Authorized Official Contact | 5733358282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J. Lastrapes, D.O., LLC 937 Broadway St Suite 203 Cape Girardeau MO 63701-5493 Ph: (573) 335-8288 | Charles J. Lastrapes, D.O., LLC 937 Broadway St Suite 203 Cape Girardeau MO 63701-5493 Ph: (573) 335-8288 |
| NPI Number | 1497765994 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497765994 | NPI | - | NPPES |
| 107336 | Other | MO | BLUE CROSS BLUE SHIELD |
| 335767 | Other | MO | HEALTHLINK |
| 283223 | Other | MO | CMR |
| DF0280 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 112343 (Missouri) | Primary |
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