Organization
BREAUX INTERNAL MEDICINE AND PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE LYNN BREAUX MD (PHYSICIAN)
(337) 491-7072
Entity
Organization
Contact information
Practice address
1722 WESTWOOD ST., LAKE CHARLES, LA 70601
(337) 491-7072
(337) 491-7076
Mailing address
1722 WESTWOOD ST., LAKE CHARLES, LA 70601
(337) 491-7072
(337) 491-7076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
0700011300
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016284
—
LA
Enumeration date
11/14/2007
Last updated
01/09/2025
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