Provider Demographics
NPI:1184842551
Name:BRAND, LAURA JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JEAN
Last Name:BRAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 GOOSE CREEK RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-6588
Mailing Address - Country:US
Mailing Address - Phone:540-932-7627
Mailing Address - Fax:866-380-7359
Practice Address - Street 1:2014 GOOSE CREEK RD
Practice Address - Street 2:SUITE 106
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-6588
Practice Address - Country:US
Practice Address - Phone:540-932-7627
Practice Address - Fax:866-380-7359
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA349306OtherANTHEM BCBS
VA349306OtherANTHEM BCBS