| NPI | 1700010600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN SPADAFORA President 504-835-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: LA 025275) |
| Additional Taxonomies | 111NR0400X (Licence: LA 1412) |
| 111NR0400X (Licence: LA 1395) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2011-09-22 |