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NPI Code Detail

MEDICARE: BREANNA MARIA LAUINGER

MEDICARE: BREANNA MARIA LAUINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician4301514789MI

General Provider Information

NPI Number : 1336757913
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA MARIA LAUINGER
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 800-999-5829
Fax Number : 313-876-1305
Provider Business Practice Location Address
First Line : 205 N EAST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 517-205-7836
Fax Number : 517-205-7660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2020
Last Update Date : 01/26/2026

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Directions to “ BREANNA MARIA LAUINGER ” Practice Location

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