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NPI Code Detail

MEDICARE: LAURA BROWN PA-C

MEDICARE: LAURA BROWN PA-C
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
1363A00000XPhysician Assistant1221520NE

General Provider Information

NPI Number : 1477382281
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BROWN PA-C
Provider Business Mailing Address
First Line : 6510 SAM HOUSTON LOOP APT B
Second Line :
City : FORT CARSON
State : CO
Zip : 80902-4703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-2092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2024
Last Update Date : 05/12/2026

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Directions to “ LAURA BROWN PA-C” Practice Location

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