| NPI | 1538169420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH I. MCBURNEY President 985-649-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: LA 053107) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |