Doctor Name: | LAURIE FAYE BROWN |
NPI Number: | 1356603625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F337299-1 |
Business Practice Address: | 77 W Barney St Gouverneur, NY - 136421040 |
Business Phone Number: | 3152871000 |
Business Fax Number: | 3155359207 |
Mailing Address: | 77 W Barney St, GOUVERNEUR |
State: | NY |
Postal Code: | 136421040 |
Phone Number: | 3152871000 |
Fax Number: | 3155359207 |
NPI Enumeration Date: | 06/13/2012 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F337299-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |