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Contact Information

LAURENCE H BRENNER, MD
3030 HARDEN BLVD
LAKELAND, FL33803-7952
 Phone: 863-687-1250
 Fax: 863-687-1258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LAURENCE H BRENNER · (Male)

NPI # 1306894753
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 07/30/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME91864
  • FL Medicaid 274526700
  • FL Other K7473 MEDICARE GROUP PROVIDER
  • FL Other 6137800001 MEDICARE NSC
  • FL Other 52154A MEDICARE PROVIDER
Hospital affiliation(s)
  • LAKELAND REGIONAL MEDICAL CENTER - (Acute Care)
    1324 LAKELAND HILLS BLVD
    LAKELAND, FL 33805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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