NPI | 1457171860 |
---|---|
Other Name | LAGNIAPPE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | WENDY MARIE WILLIAMS Credentialer 318-327-2024 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-10-11 |
Last Update Date | 2024-10-11 |