Individual
LAURA B BRACKNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8655 MARKET STREET, MENTOR, OH 44060
(440) 255-7938
(440) 255-9196
Mailing address
8655 MARKET STREET, MENTOR, OH 44060
(440) 255-7938
(440) 255-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.016211
OH
Other
Enumeration date
04/04/2020
Last updated
08/23/2023
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