| NPI | 1023565009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E DUNN-PERRIN Office Manager 337-479-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: LA MD.018335) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1330) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |