Healthcare Provider Details

I. General information

NPI: 1093014359
Provider Name (Legal Business Name): LAKIA S BROWN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 04/20/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7895 BROADWAY STE E
MERRILLVILLE IN
46410-5529
US

IV. Provider business mailing address

PO BOX 365
HOBART IN
46342-0365
US

V. Phone/Fax

Practice location:
  • Phone: 219-544-5665
  • Fax: 219-209-5455
Mailing address:
  • Phone: 219-544-5665
  • Fax: 219-209-5455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002852A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: