| 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 |