| NPI | 1750573796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA JAMIE THOMPSON Office Manger 318-627-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: LA 022337LA) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |