| NPI | 1851563357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARGARITA COLON Owner/Physician 504-889-7652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA MD024744) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2014-10-23 |