| NPI | 1982919262 |
|---|---|
| Doing Business As | LAKE AFTER HOURS BRUSLY |
| Entity Type | Organization |
| Authorized Contact | STEVE P SELLARS President 225-214-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2023-01-24 |