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General NPI Number Information
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NPI Number | 1306803077
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Entity Type | Individual
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Provider Name | CHERYL CORINNE LAPLANTE DO
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 505 DESCHUTES AVE
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City | MAUPIN
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State | OR
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Zip | 97037-7002
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Country | US
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Telephone | 541-993-4650
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Fax |
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Provider Business Mailing Address
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Address Line | 142 S LOUISA RD
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City | TYGH VALLEY
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State | OR
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Zip | 97063-9742
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Country | US
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Telephone | 541-993-4650
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO19432
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License Number State | OR
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