MEDICARE: DR. LARRY G BROWN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH14656	DC

General Provider Information

NPI Number	:	1144312976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY G BROWN DC

Provider Business Mailing Address
First Line	:	4530 CONNECTICUT AVE NW
Second Line	:	SUITE 101
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4309
Country	:	US
Telephone Number	:	202-244-4444
Fax Number	:	202-244-4439

Provider Business Practice Location Address
First Line	:	4530 CONNECTICUT AVE NW
Second Line	:	SUITE 101
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4309
Country	:	US
Telephone Number	:	202-244-4444
Fax Number	:	202-244-4439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	12/17/2007

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Directions to “ DR. LARRY G BROWN DC” Practice Location

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