| NPI | 1881936706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MITCHELL LANGE President 504-444-7742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO4838) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |