Individual provider · NPI-1
Dr. Adrienne Lynn Breaux, M.D.
Internal Medicine · Lake Charles, LA
NPI number1518008341
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1518008341
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adrienne Lynn Breaux
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2007
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD201284 | LA | Yes |
| 208000000X | Pediatrics | md.201284 | 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
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