Lauren Broussard
Lauren Broussard is a Student in an Organized Health Care Education/Training Program in Culver City, California. Works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone: (310) 390-6612
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1000 W Carson St, Torrance, CA 90502-2004 — (310) 222-3198
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1972086759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 7, 2018 |
| Last updated in NPPES | March 24, 2020 |
| Certification date | March 24, 2020 |
| Mailing address | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 |
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