| NPI | 1487739736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINCY MARSO LUCAS CEO Medical Doctor 985-643-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |