Organization · Type 2 NPI
Lisa Breaux Black, MD
Primary Care Clinic/Center · Houma, LA
NPI number
1164088134
Active
Practice location
895 Verret St
Houma, LA 70360-4635
Fax (985) 746-1204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Houma
About NPI 1164088134
Lisa Breaux Black, MD's National Provider Identifier is 1164088134, issued on May 15, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Houma, LA. The record was last updated on Jun 11, 2019.