NPI | 1063995488 |
---|---|
Entity Type | Organization |
Authorized Contact | KALA LAWRENCE CEO 337-256-5123 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-10-22 |