| NPI | 1255565222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARE LEGENDRE Administrator 985-625-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 236379) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |