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Individual
DR. LAWRENCE F BRADEN
Active
Individual
DR. LAWRENCE F BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5811
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000167122306
UNITED HEALTH CARE
—
01
—
080070820
RAILROAD MEDICARE
AR
05
—
101351001
—
AR
01
—
13271000000
QUALCHOICE
AR
01
—
5271038
AETNA
—
01
—
770078401
BREASTCARE
AR
Enumeration date
02/13/2006
Last updated
10/03/2008
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