Individual provider · Type 1 NPI

Laura D. Brake, PA-C

Medical Physician Assistant · Phoenixville, PA

NPI number 1679764633 Active

Practice location

140 Nutt Rd
Phoenixville, PA 19460-3906

Call (610) 983-1221 Map

Mailing address

PO Box 425
Lederach, PA 19450-0425

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA054467 (PA)
Physician Assistant 363A00000XOA002510 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1679764633

Laura D. Brake, PA-C's National Provider Identifier is 1679764633, issued on Aug 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenixville, PA. The record was last updated on Sep 9, 2011.