Individual provider · Type 1 NPI

Lydia Elizabeth Broussard, PA-C

Physician Assistant · Anchorage, AK

NPI number 1104572478 Active

Practice location

2925 Debarr Rd Ste 240
Anchorage, AK 99508-2959

Call (907) 339-4650 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA15445 (TX)
Physician Assistant Primary 363A00000X221587 (AK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104572478

Lydia Elizabeth Broussard, PA-C's National Provider Identifier is 1104572478, issued on Feb 25, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Anchorage, AK. The record was last updated on Aug 6, 2026.