Individual provider · Type 1 NPI
Shane T. Broussard, P.A.
Physician Assistant · Lafayette, LA
Practice location
1103 Kaliste Saloom Road, Suite 102
Lafayette, LA 70508-2920
Fax (337) 235-2121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | A10272 (LA) |
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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- Justine Michelle Guerrero, PA-CPhysician Assistant Lafayette, LA NPI 1083965255
- Sarah Lalande Ardoin, PA-CPhysician Assistant Lafayette, LA NPI 1093263139
- Jason R. Comeaux, PA-CPhysician Assistant Lafayette, LA NPI 1104825371
- Madison Rae Bolgiano, PA-CPhysician Assistant Lafayette, LA NPI 1114698404
About NPI 1164468435
Shane T. Broussard, P.A.'s National Provider Identifier is 1164468435, issued on Jun 22, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lafayette, LA. The record was last updated on Feb 3, 2009.