person
Lauren Broussard
Student in an Organized Health Care Education/Training Program in Culver City, California
NPI 1972086759

Lauren Broussard is a Student in an Organized Health Care Education/Training Program based in Culver City, CA. Lauren Broussard practices in Culver City, CA. The NPI Number for Lauren Broussard is 1972086759 and holds a License No. (California).

The current practice location address for Lauren Broussard is 4760 Sepulveda Blvd, Culver City, CA and can be reached out via phone at 310-390-6612.

Location: 4760 Sepulveda Blvd, Culver City, CA, 90230-4820
person
Provider Profile Details
NPI Number
1972086759
Provider Name
Lauren Broussard
Credential
Provider Entity Type
Individual
Gender
Female
Address
4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Phone Number
310-390-6612
Fax Number
Provider Enumeration Date
09/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4760 Sepulveda Blvd
City
State
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider Business Mailing Address Details
Address
4760 Sepulveda Blvd
City
State
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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