NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1639218407 |   |   |   | LAKE CHARLES MEDICAL SERVICES ORTHOPEDICS LLC | 1717 OAK PARK BLVD | LAKE CHARLES | LA | 706018991 |
1376524603 | BALAZSY | JEFFREY | E |   | PO BOX 122165 DEPT 2165 | DALLAS | TX | 753122165 |
1467821629 | CLARK | COURTNEY |   |   | 1717 OAK PARK BLVD | LAKE CHARLES | LA | 706018991 |
1194243220 | DANSBY | KAYLA | JEANNE |   | 4345 NELSON RD STE 201 | LAKE CHARLES | LA | 706054183 |
1982065462 | HIDALGO | COLIN | ROSS |   | PO BOX 122165 | DALLAS | TX | 753122165 |
1437437977 | MORRIS | JEREMY | WADE |   | PO BOX 122165 | DALLAS | TX | 753122165 |
1609072792 | POLUDNIANYK | KIM | N |   | PO BOX 122165 DEPT 2165 | DALLAS | TX | 753122165 |
1750713798 | SMITH | LEATHA | MICHELLE |   | 1717 OAK PARK BLVD FL 3 | LAKE CHARLES | LA | 706018990 |