| NPI | 1295123644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L LYNN Owner 318-347-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 020492) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |