Individual
DR. BREEANN LANSIQUOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE STE 710, NORFOLK, VA 23507-1914
(757) 446-5884
Mailing address
825 FAIRFAX AVE STE 710, NORFOLK, VA 23507-1914
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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