| NPI | 1861554115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDIE F LAVIOLETTE Office Manager 337-456-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-06-16 |