Individual
DR. DONNA L BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
198 DR CHILDRESS DR, MARKSVILLE, LA 71351-0100
(318) 253-7540
(318) 253-7514
Mailing address
198 DR CHILDRESS DR, MARKSVILLE, LA 71351-0100
(318) 253-7540
(318) 253-7514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018017
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1381519
—
LA
Enumeration date
07/21/2006
Last updated
05/21/2019
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