| 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 |