| NPI | 1366448458 |
|---|---|
| Doing Business As | NORTHLAKE NEPHROLOGY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | JOHN C SIMON Md / Owner 985-400-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2021-02-16 |