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NPI Code Detail

MEDICARE: MRS. MARGO ELAINE BROWN LPN

MEDICARE:  MRS. MARGO ELAINE BROWN  LPN
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
1164W00000XLicensed Practical NursePN 136318-M-IVOH

General Provider Information

NPI Number : 1104127232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGO ELAINE BROWN LPN
Provider Business Mailing Address
First Line : 5224 THEODORE STREET
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1334
Country : US
Telephone Number : 216-662-3737
Fax Number :
Provider Business Practice Location Address
First Line : 5224 THEODORE STREET
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1334
Country : US
Telephone Number : 216-662-3737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2010
Last Update Date : 11/05/2010

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Directions to “ MRS. MARGO ELAINE BROWN LPN” Practice Location

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