Provider Information for 1245900414
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LORIE-ANN BROWN
Sex: Female
NPI: 1245900414
Last Updated: 2023-12-17
Certification Date: 2023-12-17
Certification Date: 2023-12-17
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1245900414 | ||||||||||||
| Enumeration Date | 2021-09-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 11305 BIG HORN CT BELTSVILLE, MD 20705-1428 United States Phone: 443-308-3618 | Fax: | ||||||||||||
| Primary Practice Address | 11305 BIG HORN CT BELTSVILLE, MD 20705-1428 United States Phone: 518-310-8177 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 6755 BUSINESS PKWY STE 402 | ||||||||||||
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