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NPI Code Detail

MEDICARE: LAUREN BROWN

MEDICARE:   LAUREN  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
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1780157008
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BROWN
Provider Business Mailing Address
First Line : 812 SIENA DR
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-2942
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 812 SIENA DR
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-2942
Country : US
Telephone Number : 919-801-2719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2019
Last Update Date : 01/09/2019

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Directions to “ LAUREN BROWN ” Practice Location

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