MEDICARE: DR. LAUREN R BROUSSARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	34675	MD
2	104100000X	Social Worker	LG2000004413	DC

General Provider Information

NPI Number	:	1790615086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN R BROUSSARD

Provider Business Mailing Address
First Line	:	2607 REED ST NE APT 521
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1809
Country	:	US
Telephone Number	:	202-725-8948
Fax Number	:

Provider Business Practice Location Address
First Line	:	2607 REED ST NE APT 521
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1809
Country	:	US
Telephone Number	:	202-725-8948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1992436794 — ATEMNKENG CALIXTUS
Practice Location Address:

1809 RHODE ISLAND AVE NE
WASHINGTON, DC
20018-2439

Practice Phone: 202-629-2917
Practice Fax: 202-629-2797

1487415923 — CARLYN FINGERS
Practice Location Address:

1809 RHODE ISLAND AVE NE
WASHINGTON, DC
20018-2439

Practice Phone: 202-629-2917
Practice Fax: 202-629-2797

1245224195 — DR. CHRISTOPHER G LEE DC
Practice Location Address:

7 N WASHINGTON ST
MASONTOWN, PA
15461-1809

Practice Phone: 724-583-9777
Practice Fax:

1942226816 — DR. MISTY MITCHELL FYFFE D.D.S.
Practice Location Address:

1809 S WASHINGTON AVE
MARSHALL, TX
75670-6855

Practice Phone: 903-935-6282
Practice Fax:

1841216637 — MARSHALL DENTAL ASSOCIATION
Practice Location Address:

1809 S WASHINGTON AVE
MARSHALL, TX
75670-6855

Practice Phone: 903-935-6282
Practice Fax:

1588683338 — DR. CHARLES ALLEN PARKER DDS
Practice Location Address:

1809 S WASHINGTON AVE
MARSHALL, TX
75670-6855

Practice Phone: 903-935-6282
Practice Fax: 903-927-0097

Directions to “ DR. LAUREN R BROUSSARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.