Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA BRUDECKI, DO
ActiveLAURA BRUDECKI, DO is a Family Medicine healthcare provider located in BLAINE, Tennessee. NPI 1912437153 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLAINE, TN
Registration Details
- NPI Number
- 1912437153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2017 (9.0090233726083 yrs)
- Last Updated
- Sep 29, 2020
- Licenses
-
0116030638 (VA)DO3866 (TN)
Practice Information
- Address
-
880 RUTLEDGE PIKEBLAINE, TN, 377092317Browse TN providers · Browse ZIP 37709
- Phone
- 8659334110
- Fax
- 8659334729
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
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.