LISA BREAUX BLACK, MD

HOUMA, LA
NPI1164088134
Doing Business AsLA VIE A FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactHEATHER MALBROUGH
Office Administrator
985-665-9173
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2019-05-15
Last Update Date2019-06-11
Business Address
LISA BREAUX BLACK, MD
895 VERRET ST
HOUMA, LA 70360-4635
Phone number: 985-200-3225
Mailing Address
LISA BREAUX BLACK, MD
895 VERRET ST
HOUMA, LA 70360-4635
Phone number: 985-200-3225
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