MISS Layne Broussard Johnson, PA-C

NPI #1982631156 in Sterlington, Louisiana

Provider Information

NPI Number
1982631156
Entity Type
Individual
Name
MISS Layne Broussard Johnson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 26, 2006
Last Updated
Jun 26, 2014

Practice Location

Address
10374 HIGHWAY 165 N STE B
ZIP Code
71280-3320
Phone
(318) 665-4543

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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