Doctor Name: | DR. LOWELL JEROME BROWN |
NPI Number: | 1700075207 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 056056 |
Business Practice Address: | 3221 W Point St Springfield, IL - 627041046 |
Business Phone Number: | 2177879542 |
Business Fax Number: | 2177875082 |
Mailing Address: | 3221 W Point St, SPRINGFIELD |
State: | IL |
Postal Code: | 627041046 |
Phone Number: | 2177879542 |
Fax Number: | 2177875082 |
NPI Enumeration Date: | 10/20/2007 |
NPI Last Update Date: | 10/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 056056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |