| NPI | 1184964975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIRA LYNN WOODROFFE Physician/Owner 225-658-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD204356) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |