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Individual

DR. BRYAN G LAURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 SAINT MARYS DR STE 110E, EVANSVILLE, IN 47714-0515
(812) 485-1895
Mailing address
801 SAINT MARYS DR STE 110E, EVANSVILLE, IN 47714-0515

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037535A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200022860
IN
Enumeration date
12/28/2005
Last updated
07/18/2022
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