Individual
MR. BROCK JUDE ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
411 SOUTH MAIN STREET, LOREAUVILLE, LA 70552
(337) 229-4214
(337) 229-4065
Mailing address
411 SOUTH MAIN STREET, P.O. BOX 278, LOREAUVILLE, LA 70552
(337) 229-4214
(337) 229-4065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06694
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177149
—
LA
Enumeration date
10/27/2011
Last updated
05/15/2018
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