Doctor Name: | MS. LORI K. BROWN |
NPI Number: | 1902238249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 101 Lexington Ave S New Prague, MN - 560712423 |
Business Phone Number: | 6125841460 |
Business Fax Number: | 9527584740 |
Mailing Address: | 101 Lexington Ave S, NEW PRAGUE |
State: | MN |
Postal Code: | 560712423 |
Phone Number: | 6125841460 |
Fax Number: | 9527584740 |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |