NPI | 1821181801 |
---|---|
Doing Business As | LAKE AFTER HOURS O'NEAL |
Entity Type | Organization |
Authorized Contact | STEVEN P SELLARS COO/President 225-214-9352 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2006-10-02 |
Last Update Date | 2023-01-24 |