Shane T Broussard, PA
Shane T Broussard, PA is a Physician Assistant in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1103 Kaliste Saloom Rd Ste 102Lafayette, LA 70508-2920
Phone: (337) 234-5234
Fax: (337) 235-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence A10272 (LA) |
|---|
Record details
| NPI number | 1164468435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 22, 2006 |
| Last updated in NPPES | February 3, 2009 |
| Mailing address | 1103 Kaliste Saloom Road, Suite 102, Lafayette, LA 70508-2920 |
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