| NPI | 1386832822 |
|---|---|
| Doing Business As | LAFOURCHE PODIATRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES GISCLAIR President 985-325-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: LA PD0110) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2009-01-15 |