| NPI | 1740534064 |
|---|---|
| Doing Business As | LSU HEALTHCARE NETWORK |
| Entity Type | Organization |
| Authorized Contact | ATARA MCAVOY A/R Manager 504-412-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |