MEDICARE: MS. LAURYN BROWN

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	363LW0102X	Women's Health Nurse Practitioner	5024039	NC

General Provider Information

NPI Number	:	1578443503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURYN BROWN

Provider Business Mailing Address
First Line	:	5304 NORTHCROSS CT
Second Line	:
City	:	MC LEANSVILLE
State	:	NC
Zip	:	27301-9134
Country	:	US
Telephone Number	:	336-209-8340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1007
Country	:	US
Telephone Number	:	336-832-6500
Fax Number	:

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

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	05/27/2026

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