Broussard, Susan Lee

Broussard, Susan Lee is an individual health care provider with primary practice located at 4650 Ambassador Caffery Pkwy Ste 206, Lafayette LA 70508-6926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Broussard, Susan Lee can be contacted via phone (337) 988-2345.

Contact Information

Primary practice address
4650 Ambassador Caffery Pkwy Ste 206 Lafayette LA 70508-6926
Phone: (337) 988-2345
Fax: (337) 988-2353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN107720-AP06410 Louisiana

Profile Details

NPI number 1740588003
LBN Legal business name Broussard, Susan Lee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2011
Last updated Mar 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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