| NPI | 1225422264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LE Podiatrist/Owner 225-667-6497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA PD173R) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA PD173R) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |