SUSAN LEE BROUSSARD

LAFAYETTE, LA
NPI1740588003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  RN107720-AP06410)
Enumeration Date2011-03-09
Last Update Date2011-03-09
Business Address
Mrs. SUSAN LEE BROUSSARD APRN
4650 AMBASSADOR CAFFERY PKWY STE 206
LAFAYETTE, LA 70508-6926
Phone number: 337-988-2345
Mailing Address
Mrs. SUSAN LEE BROUSSARD APRN
4650 AMBASSADOR CAFFERY PKWY STE 206
LAFAYETTE, LA 70508-6926
Phone number: 337-988-2345