NPI | 1932388576 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE LAVONNE MCLURKIN President/Physician 337-491-1009 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 15205r) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2007-10-31 |