TRACY P BROUSSARD

LAFAYETTE, LA
NPI1619970308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: LA  RN087132 AP04548)
Enumeration Date2005-05-27
Last Update Date2007-07-08
Business Address
TRACY P BROUSSARD F.N.P.
155 HOSPITAL DR STE 100
LAFAYETTE, LA 70503-2852
Phone number: 337-354-0030
Mailing Address
TRACY P BROUSSARD F.N.P.
PO BOX 52028
LAFAYETTE, LA 70505-2028
Phone number: 337-354-0030
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