MRS. LUZ BROUSSEAU, LPN

Licensed Practical Nurse

Active Individual
NPI: 1053615773

Practice Address

600 NE 8TH ST STE 300
Gresham, OR 97030

Phone: (503) 988-8500

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 201030226 (OR)

Frequently Asked Questions

NPI 1053615773 is the National Provider Identifier for MRS. LUZ BROUSSEAU, LPN, a Licensed Practical Nurse provider located in Gresham, OR. This NPI was enumerated on January 10, 2011.
MRS. LUZ BROUSSEAU, LPN practices at 600 NE 8TH ST STE 300, Gresham, OR 97030.

Quick Facts

NPI
1053615773
Type
Individual
Enumerated
Jan 10, 2011
Last Updated
Apr 29, 2019

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