NPI 1194986893

Zachary Pediatrics

Organisation Legal Medicine Zachary, LA

Practice location

Address: 4851 W Park Dr Suite a, Zachary, LA 70791-4010
Phone: (225) 658-7636

Authorised official

Name: Elenita P Santos-Mata
Title: Owner
Phone: (225) 658-7636

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 07399R (LA)

Other Legal Medicine providers in Louisiana →

Registry record

NPI: 1194986893
Entity type: Organization
NPI issued: 24 Jun 2008
Record last updated: 24 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.