Broussard, Yang-Tze Yoko

Broussard, Yang-Tze Yoko is an individual health care provider with primary practice located at 1722 Westwood St , Lake Charles LA 70601-5743. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Broussard, Yang-Tze Yoko can be contacted via phone (337) 439-2200.

Contact Information

Primary practice address
1722 Westwood St Lake Charles LA 70601-5743
Phone: (337) 439-2200
Fax: (337) 439-4484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 022167 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022167 Louisiana

Profile Details

NPI number 1922099662
LBN Legal business name Broussard, Yang-Tze Yoko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922099662 NPPES
Louisiana MEDICAID 1483320

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