| NPI | 1437454519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD CHRISTOPHER TREANOR Owner & Physician 225-276-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 203457) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |