NPI | 1801010426 |
---|---|
Former Legal Business Name | WOODLAWN FAMILY HEALTH LLC |
Entity Type | Organization |
Authorized Contact | RENEE C DAIGLE Owner Of Clinic 225-756-4100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-04-13 |
Last Update Date | 2011-03-09 |