| NPI | 1801243159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN LEIGH DAVIS Owner/Nurse Practitioner 318-377-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-18 |