NANCY REBECCA FISHER BROUSSARD

LAFAYETTE, LA
NPI1447006143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: LA  2047-993AT)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-24
Last Update Date2024-10-11
Business Address
NANCY REBECCA FISHER BROUSSARD OD
1458 S COLLEGE RD
LAFAYETTE, LA 70503-2912
Phone number: 337-237-2110
Mailing Address
NANCY REBECCA FISHER BROUSSARD OD
142 MICAH EDWARD DR
MAURICE, LA 70555-3395
Phone number: