Individual
MS. LINDSEY RYAN BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRT/CTRS
Contact information
Practice address
3607 MHRA 1111 SPRING GARDEN ST, BEYOND ACADEMICS, THE UNIVERSITY OF N.C. AT GREENSBORO, GREENSBORO, NC 27412-5013
(336) 334-3855
(336) 334-3361
Mailing address
3607 MHRA 1111 SPRING GARDEN ST, BEYOND ACADEMICS, THE UNIVERSITY OF N.C. AT GREENSBORO, GREENSBORO, NC 27412-5013
(336) 334-3855
(336) 334-3361
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418760
—
NC
Enumeration date
09/23/2013
Last updated
09/23/2013
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