Y. YOKO BROUSSARD MD APMC NPI 1992942999

NPI Information

Y. YOKO BROUSSARD MD, APMC is a primary care clinic center in Lake Charles, LA. Y. YOKO BROUSSARD MD, APMC NPI is 1992942999. The provider is registered as an organization entity type.

The provider's business location address is:

711 DR. MICHAEL DEBAKEY DRIVE
STE400
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-2200
Fax: (337) 439-4484

The provider's authorized official is Y Yoko Broussard .
The authorized official title is Owner and has the following contact phone number (337) 439-2200.

The enumeration date for this NPI number is 1/13/2009 and was last updated on 1/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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