Individual provider · Type 1 NPI

Michael Louis Broussard, MD

Hematology & Oncology Physician · Lake Charles, LA

NPI number 1699890376 Active

Practice location

2770 3rd Ave Ste 210
Lake Charles, LA 70601-0404

Call (337) 494-6768 Map

Fax (337) 494-6792

Mailing address

PO Box 122579 Dept 2579
Dallas, TX 75312-2579

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	MD025609 (LA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

7 other providers at this address

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About NPI 1699890376

Michael Louis Broussard, MD's National Provider Identifier is 1699890376, issued on Mar 20, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Lake Charles, LA. The record was last updated on May 12, 2022.