| NPI | 1548387772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIF LLOYD LENSGRAF C.E.O 985-365-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2015-03-25 |