Individual
MRS. LISA L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7846 AVIATION DR, MARION, IL 62959-5818
(618) 993-2900
Mailing address
815 S DIVISION ST, CARTERVILLE, IL 62918-1528
(618) 925-2060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041284450
IL
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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