License holder summary

GRAVES SHANTELLE ALTAZAN is a Medical licensed to practice in Louisiana. The address on file for GRAVES SHANTELLE ALTAZAN is Our Lady of The Lake Regional Medical Center 5000 Hennessy Blvd, Baton Rouge, LA 70808.

Louisiana

Board of Licensing

GRAVES SHANTELLE ALTAZAN
Medical
License number
RRT.L01673
Date expires
01/31/2015
Class
Medical
Status
Active
Address
Our Lady of The Lake Regional Medical Center 5000 Hennessy Blvd, Baton Rouge, LA 70808
louisianalicensing.com
ID 22015703
LAST UPDATED 2024-02-10 03:53:58 UTC

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