NPI | 1457387508 |
---|---|
Doing Business As | LARRY FLAKE, MD |
Entity Type | Organization |
Authorized Contact | GREG J. GAVIN Network Administrator 318-212-3810 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-23 |
Last Update Date | 2020-08-22 |