NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1750027165 | CARTER | DAX |   |   | 936 N BON MARCHE DR | BATON ROUGE | LA | 708062257 |
1578033866 | GORDON | TARA | PITRE |   | 11861 COURSEY BLVD | BATON ROUGE | LA | 708164404 |
1144982893 | IVORY | DOMINIQUE |   |   | 11861 COURSEY BLVD | BATON ROUGE | LA | 708164404 |