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Dr. Latresia Grace Broussard, DC
Chiropractor in New Roads, Louisiana
NPI 1679648109

Latresia Grace Broussard is a Chiropractor based in New Roads, LA. Latresia Grace Broussard practices in New Roads, LA and has the professional credentials of DC. The NPI Number for Latresia Grace Broussard is 1679648109 and holds a License No. 1307 (Louisiana).

The current practice location address for Latresia Grace Broussard is 331 Hospital Rd, New Roads, LA and can be reached out via phone at 225-618-8016 and via fax at 225-618-8028.

Location: 331 Hospital Rd, New Roads, LA, 70760-2622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679648109
Provider Name
Latresia Grace Broussard
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
331 Hospital Rd, New Roads, LA, 70760-2622
Phone Number
225-618-8016
Fax Number
225-618-8028
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1509060 05 LA
institution
Provider Business Practice Location Address Details
Address
331 Hospital Rd
City
New Roads
State
Louisiana
Zip
70760-2622
Phone Number
225-618-8016
Fax Number
225-618-8028
person
Provider Business Mailing Address Details
Address
331 Hospital Rd
City
New Roads
State
Louisiana
Zip
70760-2622
Phone Number
225-618-8016
Fax Number
225-618-8028
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1307 (Louisiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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