| Brakeisha Lashay Broussard, LVN | |
|
312 Liston St, Lafayette, LA 70501-1040 | |
| (337) 565-9737 | |
| Not Available |
| Full Name | Brakeisha Lashay Broussard |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 312 Liston St, Lafayette, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710506498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 352464 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brakeisha Lashay Broussard, LVN 312 Liston St, Lafayette, LA 70501-1040 Ph: (337) 565-9737 | Brakeisha Lashay Broussard, LVN 312 Liston St, Lafayette, LA 70501-1040 Ph: (337) 565-9737 |
Pauline D Menard, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 106 Heymann Blvd, Lafayette, LA 70503 Phone: 337-504-4279 | |
Joshua Paul Daigle, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 3149 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-261-0734 |