SearchLouisiana343900000X

Justyn Charles

NPI 1013847011 · on the registry since 2026 · sole proprietor

Practice

Address
1185 Grand Bois Rd
Breaux Bridge, LA 70517
Phone
(337) 991-6233
Organisation at this address
Own Lane Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana