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Individual

DR. BRECK LAUDENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
205 E MAIN ST, ELKTON, MD 21921-5779
(410) 398-6576
Mailing address
205 E MAIN ST, ELKTON, MD 21921-5779
(410) 398-6576

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01419
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0030597
MD
05
196022900
MD
Enumeration date
07/29/2005
Last updated
12/06/2018
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