| NPI | 1154703627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE G BEAULLIEU Practice Manager 337-504-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.207955) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |