| NPI | 1720130339 |
|---|---|
| Doing Business As | LAKE AREA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DAWN JOHNSON-HATCHER CFO 337-494-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-12-04 |