Michael Louis Broussard in Lake Charles - Hematology & Oncology

Michael Louis Broussard - NPI 1699890376

Michael Louis Broussard is a Hematology & Oncology in Lake Charles, Louisiana. Michael Louis Broussard practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Michael Louis Broussard is 1699890376. The last update date is 2022-05-12.

Michael Louis Broussard's current location address is 2770 3rd Ave Ste 210, Lake Charles, Louisiana. You can contact this provider via phone number 3374946768 and fax number 3374946792. The mailing address for Michael Louis Broussard is 2770 3rd Ave Ste 210, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Louis Broussard
Address 2770 3rd Ave Ste 210, Lake Charles, Louisiana
Phone Number 3374946768
Fax Number 3374946792
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699890376
Provider Enumeration Date 2007-03-20
Last Updated Date 2022-05-12

Provider Mailing Address Detail

Address 2770 3rd Ave Ste 210
City Lake Charles
State Louisiana (LA)
Post Code 706010404
Phone Number 3374946768
Fax Number 3374946792

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No MD025609
Definition:
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 ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1043281 LA --

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FAQs about Michael Louis Broussard

What is the unique provider identifier assigned to Michael Louis Broussard?

The Michael Louis Broussard has been issued the NPI (National Provider Identifier) 1699890376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Michael Louis Broussard?

The Michael Louis Broussard is situated at 2770 3Rd Ave Ste 210, in the city of Lake Charles, state of LA, with the zip code 706010404.

What is Michael Louis Broussard's area of expertise and its corresponding taxonomy classification?

The Michael Louis Broussard's field of specialization is Hematology & Oncology, and it falls under the taxonomy code 207Rh0003X, which categorizes healthcare providers based on their areas of practice.

On what date did the Michael Louis Broussard receive the assignment of its 1699890376 from the Centers for Medicare & Medicaid Services?

The Michael Louis Broussard was issued its 1699890376 by the Centers for Medicare & Medicaid Services on 2007-03-20.

When was the information regarding Michael Louis Broussard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael Louis Broussard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-12.

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