Individual provider · Type 1 NPI

Lauren Broussard

Student in an Organized Health Care Education/Training Program · Culver City, CA

NPI number 1972086759 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Call (310) 390-6612 Map

Other practice locations

  • 1000 W Carson St, Torrance, CA 90502-2004 · (310) 222-3198

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972086759

Lauren Broussard's National Provider Identifier is 1972086759, issued on Sep 7, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Mar 24, 2020.