| NPI | 1477899656 |
|---|---|
| Doing Business As | LAKE URGENT CARE - GONZALES |
| Entity Type | Organization |
| Authorized Contact | STEVE SELLARS President 225-214-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2023-01-24 |