| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRAELYN JEWELL LAHAIE | 1720719032 | 2022-06-19 |
Braelyn Jewell Lahaie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720719032. Registration indicates Braelyn Jewell Lahaie is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Braelyn Jewell Lahaie |
| Practice Office Address | 2243 OAKHURST CT KANNAPOLIS, NC US |
| Practice Office Telephone | 2405200441 |
| Mailing Address | 2243 OAKHURST CT KANNAPOLIS, NC 280817136 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |