NPI 1710506498

Brakeisha Lashay Broussard, LVN

Practitioner Licensed Vocational Nurse Lafayette, LA

Practice location

Address: 312 Liston St, Lafayette, LA 70501-1040
Phone: (337) 565-9737

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 352464 (TX)

Other Licensed Vocational Nurse providers in Louisiana →

Registry record

NPI: 1710506498
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2020
Record last updated: 13 Apr 2020

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.