| NPI | 1609982164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NELL COUNCE Dermatology Resident Third Year 504-988-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: LA MD.14822R) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |