| Doctor Name: | DR. ANDREA LEIGH BRAUNINGER |
| NPI Number: | 1538245931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G25034 |
| Business Practice Address: | California Polytechnic State University Student Health 1 Grand Ave San Luis Obispo, CA - 934100001 |
| Business Phone Number: | 8057561211 |
| Business Fax Number: | 8057565298 |
| Mailing Address: | 1 Grand Ave, SAN LUIS OBISPO |
| State: | CA |
| Postal Code: | 934109001 |
| Phone Number: | 8057561211 |
| Fax Number: | 8057565298 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G25034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |