| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982023149 | BLOMBERG | CHRISTOPHER | SHANE | 4864 JACKSON ST | MONROE | LA | 712026400 | |
| 1407867864 | CAVELL | RICHARD | MCLAVY | 4864 JACKSON STREET | MONROE | LA | 712026400 | |
| 1619063161 | MORRIS | LACEY | N | 4864 JACKSON STREET | MONROE | LA | 712020000 |