Doctor Name: | LISA RENEE BROWN |
NPI Number: | 1053777862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APRN 08563 |
Business Practice Address: | 450 W Dean St Eunice, LA - 705352334 |
Business Phone Number: | 3375801361 |
Business Fax Number: | |
Mailing Address: | 450 W Dean St, EUNICE |
State: | LA |
Postal Code: | 705352334 |
Phone Number: | 3375801361 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2016 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APRN 08563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |