Laura Bruck LPN

NPI 1700887221 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1700887221
Gender Female
Enumeration Date 08/09/2005
Last Updated 08/07/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1220 WILLIS AVE
DAYTONA BEACH FL, 32114-2810, US
Phone (386) 236-3194
Fax
Business Location
1220 WILLIS AVE
DAYTONA BEACH FL, 32114-2810, US
Phone (386) 236-3194
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Florida
License Number PN738811
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According to our database, Mrs. Laura Bruck LPN NPI is 1700887221, taxonomy code is 164W00000X and license number is PN738811, license state is located at Florida. Laura Bruck LPN physically located at 1220 Willis Ave, Daytona Beach FL, 32114-2810. NPI Number Laura Bruck LPN has the Individual type.

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1700887221 NPI number is provided on an as is basis without warranty of any kind. 1700887221 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Bruck LPN are for informational purposes only.