Search › Louisiana › 101YP2500X
Alexandrea Broussard
NPI 1619635612 · on the registry since 2021
Practice
- Address
- 1202 Kirkman St Ste C
Lake Charles, LA 70601 - Phone
- (337) 990-5305
- Fax
- (337) 990-5306
- Clinicians at this address
- 47
Additional practice sites
- 710 Versailles Blvd, Alexandria, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
101YM0800X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-18
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