Healthcare Provider Details

I. General information

NPI: 1427008978
Provider Name (Legal Business Name): LISA ANN BROWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL DR STE C
FRANKLIN LA
70538-4231
US

IV. Provider business mailing address

24701 EUCLID AVE THIRD FLOOR BILLING SERVICES
EUCLID OH
44117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 337-907-6762
  • Fax: 337-907-6102
Mailing address:
  • Phone: 440-285-2960
  • Fax: 440-285-2959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number343769
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number343769
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: