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 |