Individual
MRS. LISA BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 439-8898
Mailing address
613 JOHN F KENNEDY DR, CROWLEY, LA 70526-3264
(337) 783-5519
(337) 783-5521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07972
LA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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