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Miss Layne Broussard Johnson, PA-C
Medical Physician Assistant in Sterlington, Louisiana
NPI 1982631156

Layne Broussard Johnson is a Medical Physician Assistant based in Sterlington, LA and is specialized in Medical. Layne Broussard Johnson practices in Sterlington, LA and has the professional credentials of PA-C. The NPI Number for Layne Broussard Johnson is 1982631156 and holds a License No. A10595RX (Louisiana).

The current practice location address for Layne Broussard Johnson is 10374 Highway 165 N Ste B, Sterlington, LA and can be reached out via phone at 318-665-4543.

Location: 10374 Highway 165 N Ste B, Sterlington, LA, 71280-3320
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Provider Profile Details
NPI Number
1982631156
Provider Name
Layne Broussard Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
10374 Highway 165 N Ste B, Sterlington, LA, 71280-3320
Phone Number
318-665-4543
Fax Number
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1627747 05 LA
institution
Provider Business Practice Location Address Details
Address
10374 Highway 165 N Ste B
City
State
Zip
71280-3320
Phone Number
318-665-4543
Fax Number
person
Provider Business Mailing Address Details
Address
10374 Highway 165 N Ste B
City
State
Zip
71280-3320
Phone Number
318-665-4543
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A10595RX (Louisiana)
Definition
Definition to come...
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