| NPI | 1740424720 |
|---|---|
| Other Name | LAENNEC INTERNAL MEDICINE AND OBESITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MYRIAM C ENSLING Physician, Owner 573-581-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |