| NPI | 1740541200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS JAMES LOCKLER Member 504-919-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP04755) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |