Search › Louisiana › 225X00000X
Mary Broussard, B.A., B.S
NPI 1386837953 · on the registry since 2007
Practice
- Address
- 107 Briarmeadow Dr
Lafayette, LA 70508 - Phone
- (337) 857-1331
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-08-27
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