Laurie S Braker MD Plc
NPI #1942509666 in Lake Odessa, Michigan
Provider Information
- NPI Number
- 1942509666
- Entity Type
- Organization
- Organization Name
- Laurie S Braker MD Plc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 21, 2011
- Last Updated
- Mar 21, 2011
Practice Location
- Address
- 4294 LAUREL DR
- City
- Lake Odessa
- State
- Michigan
- ZIP Code
- 48849-8430
- Phone
- (616) 374-7660
Authorized Official
- Name
- LAURIE BRAKER, MD
- Title
- OWNER
- Phone
- (616) 374-7660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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