Brian T Laursen, P.A.

NPI #1164425187 in Fort Wayne, Indiana

Provider Information

NPI Number: 1164425187
Entity Type: Individual
Name: Brian T Laursen, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 23, 2005
Last Updated: Sep 19, 2023

Practice Location

Address: 7601 W JEFFERSON BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-4133
Phone: (260) 436-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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