Search › Illinois › 363A00000X
Lucy Broaddus, MMS, PA-C, ATC
NPI 1114299419 · on the registry since 2012
Practice
- Address
- 310 N 7 Hills Rd Ste 220
O Fallon, IL 62269 - Phone
- (618) 624-6181
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-26
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 Illinois