License holder summary

BROUSSARD DAVID J is a Medical licensed to practice in Louisiana. The address on file for BROUSSARD DAVID J is LANE REGIONAL MEDICAL CTR, 6300 MAIN ST, ZACHARY, LA 70791.

Louisiana

Board of Licensing

BROUSSARD DAVID J
Medical
License number
CLP.G00908-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
LANE REGIONAL MEDICAL CTR, 6300 MAIN ST, ZACHARY, LA 70791
louisianalicensing.com
ID 21766457
LAST UPDATED 2021-10-17 09:15:59 UTC

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