NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1659688489 |   |   |   | DANIEL R. BOURQUE, M.D., A.P.M.C. | 435 HEYMANN BLVD | LAFAYETTE | LA | 705032616 |
1952393084 | BOURQUE | DANIEL | R |   | 435 HEYMANN BLVD | LAFAYETTE | LA | 705032616 |
1972759777 | FORSTHOFF | JORDAN | MARCUS |   | 435 HEYMANN BLVD | LAFAYETTE | LA | 705032616 |
1598907297 | HARPER | NICOLE | PINO |   | 435 HEYMANN BLVD | LAFAYETTE | LA | 705032616 |
1235267279 | PUGLIESE | JENNIFER | B |   | 435 HEYMANN BLVD | LAFAYETTE | LA | 705032616 |