| NPI | 1144638149 |
|---|---|
| Former Legal Business Name | DIABETIC LIFE PULSE OF LOUISIANA, LLC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH K ADCOCK Medical Director 318-698-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA C12615) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |