Provider Demographics
NPI:1477005072
Name:BRENTON, LAURA ANN (RRT)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:BRENTON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 HALL PL
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3804
Mailing Address - Country:US
Mailing Address - Phone:313-919-8044
Mailing Address - Fax:
Practice Address - Street 1:77 HALL PL
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE FARMS
Practice Address - State:MI
Practice Address - Zip Code:48236-3804
Practice Address - Country:US
Practice Address - Phone:313-919-8044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-29
Last Update Date:2016-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered