Brakeisha Lashay Broussard, LVN | |
312 Liston St, Lafayette, LA 70501-1040 | |
(337) 565-9737 | |
Not Available |
Full Name | Brakeisha Lashay Broussard |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 312 Liston St, Lafayette, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710506498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 352464 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Brakeisha Lashay Broussard, LVN 312 Liston St, Lafayette, LA 70501-1040 Ph: (337) 565-9737 | Brakeisha Lashay Broussard, LVN 312 Liston St, Lafayette, LA 70501-1040 Ph: (337) 565-9737 |
Pauline D Menard, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 106 Heymann Blvd, Lafayette, LA 70503 Phone: 337-504-4279 | |
Joshua Paul Daigle, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 3149 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-261-0734 |