Individual
DR. SANDRA DENISE MARY BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
217 SAM HOUSTON JONES PKWY, LAKE CHARLES, LA 70611-5603
(337) 217-1000
(337) 217-1004
Mailing address
PO BOX 13402, LAKE CHARLES, LA 70612-3402
(337) 217-1000
(337) 217-1004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020956
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677027
—
LA
Enumeration date
07/05/2006
Last updated
07/08/2007
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