NPI | 1518250356 |
---|---|
Doing Business As | LAKE AFTER HOURS COURSEY |
Entity Type | Organization |
Authorized Contact | STEVE P SELLARS President 225-214-9353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2011-05-26 |
Last Update Date | 2023-01-24 |