| NPI | 1811027881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE IRWIN RUSSELL Physician 337-233-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 014024) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |