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General NPI Number Information
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NPI Number | 1114220555
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Entity Type | Individual
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Provider Name | LAUREN BROUSSARD WESTMORELAND M.A., L-SLP, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 1103 W MCNEESE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5431
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Country | US
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Telephone | 337-274-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 BARBE WOOD DR
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City | LAKE CHARLES
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State | LA
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Zip | 70605-2352
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Country | US
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Telephone | 337-274-7066
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6049
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License Number State | LA
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