| NPI | 1831659333 |
|---|---|
| Doing Business As | WEST LOUISIANA FAMILY PRACTICE-DERIDDER |
| Entity Type | Organization |
| Authorized Contact | DONALD E. CAMERON Board Member 318-226-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-03-16 |