DR. LAURIE S BRAKER (NPI# 1073624573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073624573 |
| Entity Type | Individual |
| Full Name | DR. LAURIE S BRAKER |
| Other Name | LAURIE S VANDYKE |
| Credential | MD |
| Practice Address |
4294 Laurel Dr Lake Odessa MI 48849-8430 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163747660 |
| Practice Fax Number | 6163740270 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301080130 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4294 LAUREL DR |
| City | LAKE ODESSA |
| State | MI |
| Zip Code | 48849-8430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578580080 | Total Health Center Hastings Inc | Physical Therapist | 4294 Laurel Dr, Ste 2, Lake Odessa, MI 48849 | 2006-07-17 |
| 1215470265 | Zachary Daniel Jones | Physician Assistant | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2016-11-23 |
| 1023562519 | Michelle Vanburen | Nurse Practitioner | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2016-08-12 |
| 1275999286 | Pennock Hospital | Family Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2016-01-06 |
| 1962889584 | Pennock Hospital | Clinic/Center | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2015-05-04 |
| 1508269705 | Spectrum Health Primary Care Partners | Internal Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2014-10-01 |
| 1891105508 | West Michigan Heart | Internal Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2014-05-02 |
| 1184911836 | Christopher R Shoemaker | Family Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2011-07-01 |
| 1942509666 | Laurie S Braker Md Plc | Family Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2011-03-21 |
| 1053635359 | Pennock Hospital Board of Trustees | General Acute Care Hospital | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2010-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512339 | Christine Margaret Thomas | Pharmacist | 838 Fouth Ave, Lake Odessa, MI 48849 | 2007-05-01 |
| 1275641649 | Advanced Rx LLC | Pharmacy | 838 4th Avenue, Lake Odessa, MI 48849 | 2006-08-27 |
| 1831608108 | Lake Odessa Pharmacy | Pharmacy | 802 4th Ave, Lake Odessa, MI 48849-1002 | 2017-09-29 |
| 1104914001 | William H Walker | Pharmacist | 838 4th Ave, Lake Odessa, MI 48849-1002 | 2006-10-10 |
| 1851340335 | Catherine Hemingway | Dental Hygienist | 924 4th Ave, Lake Odessa, MI 48849-1003 | 2006-05-10 |
| 1639258320 | Aaron Blane Freeman | Dentist | 924 4th Ave, Lake Odessa, MI 48849-1003 | 2006-11-03 |
| 1083133607 | Vicki Davison | Psychologist | 1040 4th Ave, Lake Odessa, MI 48849-1004 | 2017-09-14 |
| 1215024369 | Gerald T Licari Dds PC | Dentist | 1032 4th Ave, Lake Odessa, MI 48849-1004 | 2006-10-09 |
| 1558320846 | Clarence Richard Barnett | Family Medicine | 1020 4th Ave, Lake Odessa, MI 48849-1004 | 2006-03-23 |
| 1851889471 | Lake Odessa Dental, Pllc | Clinic/Center | 1032 4th Ave, Lake Odessa, MI 48849-1004 | 2018-04-30 |
| Find all providers in zip 48849 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558320846 | Clarence Richard Barnett | Family Medicine | 1020 4th Ave, Lake Odessa, MI 48849-1004 | 2006-03-23 |
| 1275999286 | Pennock Hospital | Family Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2016-01-06 |
| 1184911836 | Christopher R Shoemaker | Family Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2011-07-01 |
| 1942509666 | Laurie S Braker Md Plc | Family Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2011-03-21 |
| 1447380324 | Clarence Richard Barnett Md Plc | Family Medicine | 1020 4th Ave, Lake Odessa, MI 48849-1004 | 2007-03-07 |
| 1225147804 | Lee O Stuart | Family Medicine | 4294 Laurel Dr, Lake Odessa, MI 48849-8430 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ODESSA |
| Zip Code | 48849 |
Please comment or provide details below to improve the information on DR. LAURIE S BRAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.