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Lydia Katherine Breaux
Family Nurse Practitioner in Lake Worth, Florida
NPI 1558097089

Lydia Katherine Breaux is a Family Nurse Practitioner based in Memphis, FL and is specialized in Family. Lydia Katherine Breaux practices in Lake Worth, FL. The NPI Number for Lydia Katherine Breaux is 1558097089 and holds a License No. 11021004 (Florida).

The current practice location address for Lydia Katherine Breaux is 201 N Dixie Hwy, Lake Worth, FL and can be reached out via phone at 561-867-9991 and via fax at 800-755-8631.

Location: 201 N Dixie Hwy, Lake Worth, FL, 38148-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558097089
Provider Name
Lydia Katherine Breaux
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 N Dixie Hwy, Lake Worth, FL, 38148-0001
Phone Number
561-867-9991
Fax Number
800-755-8631
Provider Enumeration Date
07/27/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115219300 05 FL
institution
Provider Business Practice Location Address Details
Address
201 N Dixie Hwy
City
Lake Worth
State
Florida
Zip
33460-3079
Phone Number
561-867-9991
Fax Number
800-755-8631
person
Provider Business Mailing Address Details
Address
201 N Dixie Hwy
City
Lake Worth
State
Florida
Zip
33460-3079
Phone Number
561-867-9991
Fax Number
800-755-8631
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11021004 (Florida)
Definition
Definition to come...
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