NPI 1235018482

Shameeca Broussard

Practitioner Driver Lafayette, LA

Practice location

Address: 138 Gallian St, Lafayette, LA 70501-6425
Phone: (337) 422-7871
Fax: (337) 770-2696
Mailing address: PO Box 91246, Lafayette, LA 70509-1246

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1235018482
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2025
Record last updated: 1 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.