# BREAUX INTERNAL MEDICINE AND PEDIATRIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457531881
- **Authorized official:** DR. ADRIENNE LYNN BREAUX MD (PHYSICIAN)
- **Authorized official phone:** (337) 491-7072

## Contact information

- **Practice address:** 1722 WESTWOOD ST., LAKE CHARLES, LA 70601
- **Practice address phone:** (337) 491-7072
- **Practice address fax:** (337) 491-7076
- **Mailing address:** 1722 WESTWOOD ST., LAKE CHARLES, LA 70601
- **Mailing address phone:** (337) 491-7072
- **Mailing address fax:** (337) 491-7076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261Q00000X | Clinic/Center | 0700011300 | LA | — |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 01/09/2025