Individual
MRS. YANG-TZE YOKO BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1722 WESTWOOD ST, LAKE CHARLES, LA 70601-5743
(337) 439-2200
(337) 439-4484
Mailing address
501 DOCTOR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 433-8400
(337) 439-4484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022167
LA
208000000X
Pediatrics Physician
022167
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483320
—
LA
Enumeration date
11/02/2005
Last updated
02/03/2017
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