ProviderBusinessMailingAddressFaxNumber = '3379905306'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1336622653 | BOURGEOIS | VERONICA | DANIELLE | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1619635612 | BROUSSARD | ALEXANDREA | MAE | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1851829063 | CELESTINE | TESSIE | SHARINE | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1952757072 | CHRETIAN | SHELLEY | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1770126773 | DEJEAN | ANITA | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1649832171 | FUSLIER | SHIANNE | NICHOLE | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1134575426 | HARRIS | GWENDOLYN | | | 2132 BROOKS ST | LAKE CHARLES | LA | 706011812 |
| 1457714628 | IVEY | THERESA | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1972968576 | LANDRY-CHARLES | ROSE | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1760025779 | LARTIGUE | SHERYL | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1588010367 | LEDOUX | JASON | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1740654268 | NEWTON | RICKEISHA | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
| 1275109852 | VICTORIAN | MADISON | | | 1202 KIRKMAN ST STE C | LAKE CHARLES | LA | 706015391 |
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