Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LATRESIA GRACE BROUSSARD, DC
ActiveDR. LATRESIA GRACE BROUSSARD, DC is a Chiropractor healthcare provider located in NEW ROADS, Louisiana. NPI 1679648109 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · NEW ROADS, LA
Registration Details
- NPI Number
- 1679648109
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2006 (19.70166799241 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1307 (LA)
Practice Information
- Address
-
331 HOSPITAL RDNEW ROADS, LA, 707602622Browse LA providers · Browse ZIP 70760
- Phone
- 2256188016
- Fax
- 2256188028
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.