| Organization Name: | LOUISIANA OCCUPATIONAL MEDICINE AND SAFETY INSTITUTE |
| NPI Number: | 1104172154 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN K IEYOUB (OWNER) |
| Mailing Address: | 2492 S Cities Service Hwy Suite 2 Sulphur |
| State: | LA US |
| Postal Code: | 706656497 |
| Phone Number: | 3374758195 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2012 |
| NPI Last Update Date: | 07/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |