| NPI | 1972396935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYRON ANDRE DEPUTY Owner 302-652-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |