| NPI | 1750846663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH THERESA LEBLANC Business Office Analyst /Programmer 337-494-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-06-11 |