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Shane Broussard, P.A
NPI 1164468435 · on the registry since 2006
Practice
- Address
- 1103 Kaliste Saloom Road
Suite 102
Lafayette, LA 70508 - Phone
- (337) 234-5234
- Fax
- (337) 235-2121
- Organisation at this address
- Falcon Pharmacy Llc
John E Cobb, Md, Apmc
Malcolm J Stubbs Md Llc
Apc Pharmaceuticals Llc
Michael S Haydel Md ApmcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-03
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