Organization
BRANCH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWANDA DUPREE NP (NP/OWNER)
(602) 704-4130
Entity
Organization
Contact information
Practice address
5201 N 19TH AVE STE 100, PHOENIX, AZ 85015-2901
(602) 704-4130
Mailing address
5201 N 19TH AVE STE 100, PHOENIX, AZ 85015-2901
(602) 859-1999
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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