| NPI | 1356621593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN L DAZZIO Managing Director 225-922-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN108288AP04367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 757023266) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |