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