SHANE T BROUSSARD, P.A

NPI: 1164468435 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

1103 KALISTE SALOOM ROAD
SUITE 102
LAFAYETTE, LA 70508-2920 Map ↗
Phone: 337-234-5234
Fax: 337-235-2121

All Specialties & Licenses

  • Physician Assistant Primary (license: A10272, LA)

NPI Registration

Enumerated: 2006-06-22

Last CMS Update: 2009-02-03