Brakeisha Lashay Broussard, LVN - Licensed Vocational Nurse in Lafayette, LA

Brakeisha Lashay Broussard, LVN is a Licensed Vocational Nurse based in Lafayette, Louisiana. Brakeisha Lashay Broussard is licensed to practice in Texas (license number 352464) and her current practice location is 312 Liston St, Lafayette, Louisiana. She can be reached at her office (for appointments etc.) via phone at (337) 565-9737.

NPI number for Brakeisha Lashay Broussard is 1710506498 and her current mailing address is 312 Liston St, Lafayette, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710506498.

Contact Information

Brakeisha Lashay Broussard, LVN
312 Liston St,
Lafayette, LA 70501-1040
(337) 565-9737
Not Available



Provider's Profile

Full NameBrakeisha Lashay Broussard
GenderFemale
SpecialityLicensed Vocational Nurse
Location312 Liston St, Lafayette, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710506498
  • Provider Enumeration Date: 04/13/2020
  • Last Update Date: 04/13/2020

Medical Identifiers

Medical identifiers for Brakeisha Lashay Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710506498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 352464 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brakeisha Lashay Broussard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brakeisha Lashay Broussard, LVN
312 Liston St,
Lafayette, LA 70501-1040

Ph: (337) 565-9737
Brakeisha Lashay Broussard, LVN
312 Liston St,
Lafayette, LA 70501-1040

Ph: (337) 565-9737

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› Verified 2 days ago


Licensed Vocational Nurse Nurses in Lafayette, LA

Pauline D Menard,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 106 Heymann Blvd, Lafayette, LA 70503
Phone: 337-504-4279    
Joshua Paul Daigle, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3149 Ambassador Caffery Pkwy, Lafayette, LA 70506
Phone: 337-261-0734    

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