| NPI | 1417474339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LAVERGNE Credentialing Specialist 225-953-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 204876) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |