NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1487817813 |   |   |   | STEPHANIE CHRISTINA, LLC | 213 FOURPARK RD | LAFAYETTE | LA | 705072481 |
1740466440 |   |   |   | CCP MEDICAL MANAGEMENT, LLC | 213 FOURPARK RD | LAFAYETTE | LA | 705072481 |
1952622664 |   |   |   | CCP MEDICAL MANAGEMENT LLC | 213 FOURPARK RD | LAFAYETTE | LA | 705072481 |