| NPI | 1134848583 |
|---|---|
| Doing Business As | SALT & LIGHT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LACEY DUNCAN Owner 318-310-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-04-13 |