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LISA JO BROWN FNP-C

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1770116808

Individual Registrant:
 LISA JO BROWN FNP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
4115 SOUTH ST  LAKEWOOD, CA 90712-1043 US
Tel: 239-595-7011  Fax: --

Contact information for business:
4115 SOUTH ST  LAKEWOOD, CA 90712-1043 US
Tel: 239-595-7011  Fax: --

Registration Information:
NPI: 1770116808
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CA95013982

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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