NPI 1811132475

Laura Kay Broderick

Practitioner Specialist Brookfield, WI

Practice location

Address: 1755 N Barker Rd, Brookfield, WI 53045-1801
Phone: (262) 821-3939
Mailing address: 921 N Evergreen Cir, Hartland, WI 53029-8636

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 722026 (WI)

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Registry record

NPI: 1811132475
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2008
Record last updated: 11 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.