Individual
LAURA L BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4 MEMORIAL DR, STE 230B, ALTON, IL 62002-6751
(618) 463-7777
(618) 463-7767
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(618) 463-7777
(618) 463-7767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209003963
IL
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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