Individual
DR. LAURA RICHARD BRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3921 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 942-5706
(337) 942-2644
Mailing address
150 RODEO DRIVE, OPELOUSAS, LA 70570-6948
(337) 942-5706
(337) 942-2644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25270
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577952
—
LA
Enumeration date
03/15/2006
Last updated
12/13/2010
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