MEDICARE: MS. LAKESHA N BROWN M.P.A.

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1720338387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAKESHA N BROWN M.P.A.

Provider Business Mailing Address
First Line	:	PO BOX 8422
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32239-0422
Country	:	US
Telephone Number	:	904-253-1288
Fax Number	:	904-253-1972

Provider Business Practice Location Address
First Line	:	900 UNIVERSITY BLVD N
Second Line	:	MC-66
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-5530
Country	:	US
Telephone Number	:	904-253-1288
Fax Number	:	904-253-1972

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

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	05/09/2016

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