BROOKE LAEL CORCORAN

GREEN BAY, WI
NPI1689449522
Former NameBROOKE LAEL TOMPKINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  7704)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5601012169)
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
BROOKE LAEL CORCORAN PA
2360 DUCK CREEK PKWY
GREEN BAY, WI 54303-3300
Phone number: 920-965-0345
Mailing Address
BROOKE LAEL CORCORAN PA
4016 KIRKSVILLE RD
LANCASTER, KY 40444-8659
Phone number: 859-358-5612