Individual
BROOKS LEE VIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3939 HOUMA BLVD STE 21, METAIRIE, LA 70006-2921
(985) 212-4286
Mailing address
3939 HOUMA BLVD STE 21, METAIRIE, LA 70006-2921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
06/08/2020
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