Healthcare Provider Details

I. General information

NPI: 1427244870
Provider Name (Legal Business Name): IA LASHUN BROWN LHAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 09/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 E FOOTHILL BLVD
PASADENA CA
91107-2202
US

IV. Provider business mailing address

1855 E MOUNTAIN ST
PASADENA CA
91104-4013
US

V. Phone/Fax

Practice location:
  • Phone: 626-351-3226
  • Fax: 626-351-4206
Mailing address:
  • Phone: 626-398-7779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number7229
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: