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NPI Code Detail

MEDICARE: CHRISTOPHER T. LABONTE MD LLC

MEDICARE: CHRISTOPHER T. LABONTE MD LLC
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
1207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DF8249OTHERMOMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34920833OTHERMOCIGNA

General Provider Information

NPI Number : 1952409971
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTOPHER T. LABONTE MD LLC
Provider Business Mailing Address
First Line : 1068 S WOODS MILL RD STE 220
Second Line :
City : TOWN AND COUNTRY
State : MO
Zip : 63017-8333
Country : US
Telephone Number : 314-394-1379
Fax Number : 314-394-1377
Provider Business Practice Location Address
First Line : 1068 S WOODS MILL RD STE 220
Second Line :
City : TOWN AND COUNTRY
State : MO
Zip : 63017-8333
Country : US
Telephone Number : 314-394-1379
Fax Number : 314-394-1377
Authorized Official
Title or Position : MD/OWNER
Name : DR. CHRISTOPHER T. LABONTE
Credential : MD
Telephone Number : 314-394-1379
Provider Enumeration Date : 09/21/2006
Last Update Date : 09/24/2019

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