Individual provider · Type 1 NPI

Lucy Broaddus, MMS, PA-C, ATC.

Physician Assistant · O Fallon, IL

NPI number 1114299419 Active

Practice location

310 N 7 Hills Rd Ste 220
O Fallon, IL 62269-4111

Call (618) 624-6181 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085004281 (IL)

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…

9 other providers at this address

Other physician assistant providers in O Fallon

See all in O Fallon →

About NPI 1114299419

Lucy Broaddus, MMS, PA-C, ATC.'s National Provider Identifier is 1114299419, issued on Feb 1, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in O Fallon, IL. The record was last updated on Jan 26, 2026.