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1821007170
ROBERT CRAIG BROUSSARD
LAKE CHARLES, LA
NPI
1821007170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: LA 018460)
Enumeration Date
2006-08-05
Last Update Date
2022-06-09
Business Address
Mr. ROBERT CRAIG BROUSSARD MD
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601-0404
Phone number: 337-494-2750
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Mailing Address
Mr. ROBERT CRAIG BROUSSARD MD
PO BOX 122309 DEPT 2309
DALLAS, TX 75312-2309
Phone number: 337-494-2921
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