| NPI | 1588612543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN L DAVIS Manager 985-845-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.020713) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-11-20 |