| NPI | 1417561358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNEN LARK Officer 504-494-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2021-11-15 |