| NPI | 1104170992 |
|---|---|
| Doing Business As | MAISON DE LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J MCPHERSON Partner 318-729-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2022-01-26 |