LUCY BROADDUS, MMS, PA-C, ATC

NPI: 1114299419 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

310 N 7 HILLS RD STE 220
O FALLON, IL 62269-4111 Map ↗
Phone: 618-624-6181

All Specialties & Licenses

  • Physician Assistant Primary (license: 085004281, IL)

HIE Endpoints

  • FHIR: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

NPI Registration

Enumerated: 2012-02-01

Last CMS Update: 2026-01-26