MEDICARE: JANAE NICOLE LAPORTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2026013862	MO

General Provider Information

NPI Number	:	1376474908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAE NICOLE LAPORTE

Provider Business Mailing Address
First Line	:	503 PLEASANT BREEZE DR
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-8919
Country	:	US
Telephone Number	:	314-323-7145
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 PLEASANT BREEZE DR
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-8919
Country	:	US
Telephone Number	:	314-323-7145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ JANAE NICOLE LAPORTE ” Practice Location

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