MEDICARE: LASHEA BROWN

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1356937148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHEA BROWN

Provider Business Mailing Address
First Line	:	862 W 126TH ST APT 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	862 W 126TH ST APT 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3859
Country	:	US
Telephone Number	:	626-899-2146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2020
Last Update Date	:	12/15/2020

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Directions to “ LASHEA BROWN ” Practice Location

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