DR. Lisa Breaux Black, M.D.
NPI #1851484307 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1851484307
- Entity Type
- Individual
- Name
- DR. Lisa Breaux Black, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 161 N CAUSEWAY STE A
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32169-5328
- Phone
- (386) 424-1584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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