| NPI | 1053598557 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FRANCISCO LAGO-VELEZ Medical Officer 504-329-1421 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | 
| Enumeration Date | 2008-01-28 | 
| Last Update Date | 2008-01-28 |