| Doctor Name: | LAURA WINSOR BROOKS |
| NPI Number: | 1245553866 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | MA001954L |
| Business Practice Address: | 1999 Sproul Rd Ste 25 Broomall, PA - 190083508 |
| Business Phone Number: | 6103536400 |
| Business Fax Number: | 6103561204 |
| Mailing Address: | 1999 Sproul Rd, Ste 25 BROOMALL |
| State: | PA |
| Postal Code: | 190083508 |
| Phone Number: | 6103536400 |
| Fax Number: | 6103561204 |
| NPI Enumeration Date: | 03/10/2010 |
| NPI Last Update Date: | 03/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA001954L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |