MS. Lucy Broaddus, MMS, PA-C, ATC.

NPI #1114299419 in O Fallon, Illinois

Provider Information

NPI Number
1114299419
Entity Type
Individual
Name
MS. Lucy Broaddus, MMS, PA-C, ATC.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
MMS, PA-C, ATC.
Enumeration Date
Feb 1, 2012
Last Updated
Jan 26, 2026

Practice Location

Address
310 N 7 HILLS RD STE 220
ZIP Code
62269-4111
Phone
(618) 624-6181

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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