Healthcare Provider Details

I. General information

NPI: 1538383021
Provider Name (Legal Business Name): MONICA BROWN LOBBINS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA BROWN BROWN DO

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-4234
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1000
  • Fax:
Mailing address:
  • Phone: 505-272-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License NumberC0751
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License NumberOP61195426
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number1977
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number32842
License Number StateMS
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO2023-1070
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: