# HEIDI DAVONNE BROWN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356841944
- **Gender:** F
- **Credential:** LPN, CMLD, CEO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 27075427A | IN | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | 15D2213193 | IN | — |

## Other

- **Enumeration date:** 02/20/2018
- **Last updated:** 03/10/2021