Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD186107 | OR |
N | 2080P0208X | Pediatric Infectious Diseases | MD186107 | OR |
N | 2080P0208X | Pediatric Infectious Diseases | MD60078135 | WA |
NPI | 1215029566 |
---|---|
Provider Name | Loranee E Braun |
First Address | Eugene, OR 97401-2186 |
Second Address | Tacoma, WA 98431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 28/06/2018 |