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Individual

LAURENT BRARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
415 N 9TH ST, STE 6W70, SPRINGFIELD, IL 62702-5303
(217) 545-8882
(217) 545-7958
Mailing address
PO BOX 19640, SPRINGFIELD, IL 62794-9640
(217) 545-8000
(217) 545-7958

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
036127342
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036127342
IL
Enumeration date
06/29/2006
Last updated
10/20/2020
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