BRIAN T LAURSEN

FORT WAYNE, IN
NPI1164425187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000668A)
Enumeration Date2005-05-23
Last Update Date2023-09-19
Business Address
BRIAN T LAURSEN P.A.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
BRIAN T LAURSEN P.A.
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686
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