| NPI | 1285774687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY E LAPITE Office Manager 318-323-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 11338R) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |