Lillian Broome

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1799 Stumpf Blvd
Building 7 Suite 9a
Terrytown, LA 70056-3950

Phone

(844) 864-7834

Fax

(844) 864-7834

NPI assigned

Nov 6, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2015.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1124491568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BUILDING 7 SUITE 9A",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "844-864-7834",
            "fax_number": "844-864-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BUILDING 7 SUITE 9A",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "844-864-7834",
            "fax_number": "844-864-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Treuil Bouligny, RN
• Patty E. Boustany, M.D.
• Kenesha Bradley, APRN
• Cassandra Denise Brandon, MD
• Robbin Marie Brehm
• Alonquin Brown
• Calvin Brown Sr.
• Sherman Dwayne Bunch Sr.
• C V Eyecare,LLC
• Jaime L Caillet, PT

• All providers in Terrytown, LA
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.