| NPI | 1013313774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNIE B PINO Owner/Cfnp 225-673-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04341) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |