| 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 |