NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1508234600 |   |   |   | INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC | 4700 EXCHANGE CT STE 110 | BOCA RATON | FL | 334314450 |
1336474402 | BENSON | KIMBERLY | CHRISTINE |   | 180 N 5TH ST | PONCHATOULA | LA | 704542532 |
1013368794 | BORDELON | KIMBERLY | PATERNOSTRO |   | 28404 LOIRET CT | PONCHATOULA | LA | 704548102 |
1932542198 | BROWN | FALON | VICTORIA |   | 180 N 5TH ST | PONCHATOULA | LA | 704542532 |
1982339958 | BUTCHER | MARIAH | BENSON |   | 2415 CATO ST | BATON ROUGE | LA | 708081418 |
1285053496 | MCDANIEL | BRIANNA |   |   | 109 NEW CAMELLIA BLVD STE 200 | COVINGTON | LA | 704337829 |
1134188808 | ODONNELL | JULIE |   |   | 180 N 5TH ST | PONCHATOULA | LA | 704542532 |
1154441251 | SMITH | SUSAN | BARRINGER |   | 180 NORTH 5TH STREET | PONCHATOULA | LA | 70454 |