CHARLES J. LASTRAPES D.O. LLC NPI 1497765994

NPI Information

  • NPI: 1497765994
  • Provider Name: CHARLES J. LASTRAPES, D.O., LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 937 BROADWAY ST
    SUITE 203
    CAPE GIRARDEAU, MO
    ZIP 63701
  • Phone: (573) 335-8288

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NPI Details

CHARLES J. LASTRAPES, D.O., LLC is a family medicine in Cape Girardeau, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES J. LASTRAPES, D.O., LLC NPI is 1497765994. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

937 BROADWAY ST
SUITE 203
CAPE GIRARDEAU, MO
ZIP 63701-493
Phone: (573) 335-8288

The provider's authorized official is Charles Joseph Lastrapes .
The authorized official title is Physician and has the following contact phone number (573) 335-8282.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 5/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine112343MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1107336OTHERMISSOURIBLUE CROSS BLUE SHIELD
2DF0280OTHERMISSOURIRAILROAD MEDICARE
3G00152MEDICARE UPINMISSOURI
4283223OTHERMISSOURICMR
5335767OTHERMISSOURIHEALTHLINK
6000015006MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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