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LORI ANTOINETTE BREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5111 MARYLAND WAY, SUITE 301, BRENTWOOD, TN 37027-7513
(615) 661-4256
(615) 661-4253
Mailing address
5111 MARYLAND WAY, SUITE 301, BRENTWOOD, TN 37027-7513
(615) 661-4256
(615) 661-4253

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD31851
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1502886
TN
05
3898198
TN
Enumeration date
09/27/2005
Last updated
01/22/2013
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