| NPI | 1104901156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LEE ALEVIZON President 985-223-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1331) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: LA ACU.C10006) |
| 207V00000X Obstetrics & Gynecology (Licence: LA MD.10792R) | |
| 208D00000X General Practice (Licence: LA MD 023740) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |