Laurie S Braker Md Plc

LBN: Laurie S Braker Md Plc
Laurie S Braker Md Plc is an health care organization with primary practice located at 4294 Laurel Dr , Lake Odessa MI 48849-8430. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Laurie S Braker Md Plc can be contacted via phone (616) 374-7660, or through Braker, Laurie via phone (616) 374-7660.

Contact Information

Primary practice address
4294 Laurel Dr Lake Odessa MI 48849-8430
Phone: (616) 374-7660
Fax: (616) 374-0270
Website:
Map and Directions
Authorized official contact:
Name: Braker, Laurie Doctor of Medicine (MD)
Phone: (616) 374-7660

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301080130 Michigan

Profile Details

NPI number 1942509666
LBN Legal business name Laurie S Braker Md Plc
DBA Doing business as
Authorized official Braker, Laurie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2011
Last updated Mar 21st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942509666 NPPES
Michigan MEDICAID 4765084

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