Breaux Internal Medicine And Pediatric Clinic
Internal Medicine in Lake Charles, LA. Organization (NPI-2).
NPI number1457531881
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1457531881
- Entity type
- Organization (NPI-2)
- Legal business name
- Breaux Internal Medicine And Pediatric Clinic
- Organization subpart
- No
- Enumeration date
- Nov 14, 2007
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – | |
| 261Q00000X | Clinic/Center | 0700011300 | LA |
Practice location
1722 Westwood St.Lake Charles, LA 70601
Phone 337-491-7072 · Fax 337-491-7076
Mailing address
1722 Westwood St.Lake Charles, LA 70601
Phone 337-491-7072 · Fax 337-491-7076
Authorized official
Adrienne Lynn Breaux
Physician
3374917072
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