LISA BROADNAX

ZACHARY, LA
NPI1508360777
Other NameLISA BROADNAX-JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
LISA BROADNAX MED
6351 MAIN ST
ZACHARY, LA 70791-4038
Phone number: 225-306-2000
Mailing Address
LISA BROADNAX MED
PO BOX 770
ZACHARY, LA 70791-0770
Phone number: 225-306-2000
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