| NPI | 1619205242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE OLSON Oculofacial Surgeon 225-766-0005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA MD201863) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |