Doctor Name: | MRS. LISA MONTGOMERY BROWNING |
NPI Number: | 1215362884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9107438 |
Business Practice Address: | 1803 Briar Creek Blvd Safety Harbor, FL - 346954696 |
Business Phone Number: | 7272160505 |
Business Fax Number: | |
Mailing Address: | 1803 Briar Creek Blvd, SAFETY HARBOR |
State: | FL |
Postal Code: | 346954696 |
Phone Number: | 7272160505 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2013 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9107438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |