MEDICARE: LISA ANN BROWN M.D.

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	207Q00000X	Family Medicine Physician	343769	LA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	343769	LA

General Provider Information

NPI Number	:	1427008978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ANN BROWN M.D.

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:	THIRD FLOOR BILLING SERVICES
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:	440-285-2960
Fax Number	:	440-285-2959

Provider Business Practice Location Address
First Line	:	200 MEDICAL DR STE C
Second Line	:
City	:	FRANKLIN
State	:	LA
Zip	:	70538-4231
Country	:	US
Telephone Number	:	337-907-6762
Fax Number	:	337-907-6102

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	11/21/2024

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