| NPI | 1558406025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE C HARVIN Administrator 337-233-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-02-06 |