License holder summary

BROUSSARD VICKI R is a Medical licensed to practice in Louisiana. The address on file for BROUSSARD VICKI R is 4820 Lake Street, Lake Charles, LA 70605.

Louisiana

Board of Licensing

BROUSSARD VICKI R
Medical
License number
POLY.000194
Date expires
11/30/2014
Class
Medical
Status
Active
Address
4820 Lake Street, Lake Charles, LA 70605
louisianalicensing.com
ID 22010908
LAST UPDATED 2026-04-28 11:03:27 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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