| 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 |