Breaux, Lori Antoinette

Breaux, Lori Antoinette is an individual health care provider with primary practice located at 5111 Maryland Way Suite 301, Brentwood TN 37027-7513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Breaux, Lori Antoinette can be contacted via phone (615) 661-4256.

Contact Information

Primary practice address
5111 Maryland Way Suite 301 Brentwood TN 37027-7513
Phone: (615) 661-4256
Fax: (615) 661-4253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD31851 Tennessee

Profile Details

NPI number 1942296751
LBN Legal business name Breaux, Lori Antoinette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942296751 NPPES
Tennessee MEDICAID 3898198
Tennessee MEDICAID 1502886

Popular Providers