| NPI | 1699964692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTEN CLAIRE BEAUREGARD Insurance COO Rdinator 225-261-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 017750) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2008-08-06 |