Individual
MRS. SUSAN LEE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
345 DOUCET RD STE 233, LAFAYETTE, LA 70503-3490
(337) 257-5157
Mailing address
345 DOUCET RD STE 233, LAFAYETTE, LA 70503-3490
(337) 257-5157
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP06410
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN107720-AP06410
LA
Other
Enumeration date
03/09/2011
Last updated
11/18/2024
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