NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1578721478 | COMEAUX | JARMON | CHARLES |   | 2770 3RD AVE # S350 | LAKE CHARLES | LA | 706018994 |
1689753014 | GAHARRAN | JAMES | PHILLIP |   | 2770 3RD AVE | LAKE CHARLES | LA | 706018994 |
1598834491 | HEBERT | WILLIAM | GERRY |   | 2770 3RD AVENUE | LAKE CHARLES | LA | 70601 |