NPI | 1568908770 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETCHEN LANDRY Practice Administrator 985-447-3889 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: LA 201271) |
Enumeration Date | 2017-01-11 |
Last Update Date | 2017-01-11 |