NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1023430766 |   |   |   | PROFESSIONAL EMERGENCY MEDICINE MANAGEMENT -- LAKE CHARLES LLC | PO BOX 722755 | NORMAN | OK | 730709088 |
1043757164 | ALEXANDER | YVONNE | EILEEN |   | 4751 COTTON GIN RD | STARKS | LA | 706613313 |
1518461706 | BLANCHARD | BRANDON | SHEA |   | 411 PISTOL DR | LAKE CHARLES | LA | 706114747 |
1497938518 | DUPREE | AARON | L |   | PO BOX 960482 | OKLAHOMA CITY | OK | 731960482 |
1356322077 | GRAY | JON | HARVEY |   | 6034 ST. CHARLES AVE | NEW ORLEANS | LA | 70118 |
1225559586 | LEBOEUF | THAD | ELTER |   | 1511 COTTAGE LN | LAKE CHARLES | LA | 706015350 |
1659562916 | RAMIREZ OCAMPO | JUAN | DAVID |   | PO BOX 960482 | OKLAHOMA CITY | OK | 731960482 |