DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN T LAURSEN, P.A.

Active

BRIAN T LAURSEN, P.A. is a Physician Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1164425187 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT WAYNE, IN

Registration Details

NPI Number
1164425187
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2005 (21.039561321535 yrs)
Last Updated
Sep 19, 2023
License
10000668A (IN)

Practice Information

Address
7601 W JEFFERSON BLVD
FORT WAYNE, IN, 468044133
Browse IN providers · Browse ZIP 46804
Phone
2604368686
Fax
2604325075
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT WAYNE, IN

Name Credential NPI
GRETCHEN L CRAMPTON P.A. 1275536211
DEBORAH S CASTILE P.A. 1699778753
MR. CHRISTOPHER A FEGLEY PA 1003814476
DARLENE K HOOVER PA-C 1184625527
JENNIFER R. HOCKEMEYER PA 1376545111
ANNE T HINES P.A. 1790787539
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.