LAURIE S BRAKER MD PLC
NPI 1942509666
Family Medicine in Lake Odessa, MI

Q: What is Laurie S Braker MD Plc's NPI number?

The NPI number for Laurie S Braker MD Plc is 1942509666. It was assigned to this organization in the NPPES registry on March 21, 2011.

Q: What is Laurie S Braker MD Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 21, 2011

4294 LAUREL DR, LAKE ODESSA, MI 48849(616) 374-7660(616) 374-0270 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Laurie S Braker Md Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE S BRAKER MD PLC (NPI 1942509666) is a healthcare organization registered as a family medicine in Lake Odessa, Michigan and active in the NPI registry since March 2011. The organization lists Laurie Braker, Owner, as its authorized official.

NPPES Registry Identity

NPI1942509666

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAURIE S BRAKER MD PLC

Location Address4294 LAUREL DRLake Odessa, MI 48849-8430

Mailing Address4294 Laurel Dr, Po Box 578Lake Odessa, MI 48849-8430 · (616) 374-7660 · Fax (616) 374-0270

Phone(616) 374-7660

Fax(616) 374-0270

Organization SubpartNo

Authorized OfficialLaurie BrakerOwner · (616) 374-7660

Enumeration DateMarch 21, 2011

✔ NPI 1942509666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301080130

Definition

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.

4294 LAUREL DR, Lake Odessa, MI 48849

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Other Identifiers 3

Medicare UPINI3185

Medicare PINOP18430

Medicaid4765084MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE VANBUREN NP

Nurse Practitioner (Family)