Individual
BREEONA NAMUKOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6825
(517) 237-7162
(517) 346-8291
Mailing address
812 E JOLLY RD STE 210, LANSING, MI 48910-6825
(517) 237-7162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301514485
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
04/15/2026
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