Individual
SAMANTHA BROUSSARD HUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, IBCLC
Contact information
Practice address
717 DEER FORK XING, COVINGTON, LA 70435-7013
(985) 789-2542
Mailing address
717 DEER FORK XING, COVINGTON, LA 70435-7013
(985) 789-2542
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-306085
LA
Other
Enumeration date
08/04/2022
Last updated
08/17/2022
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