Individual
LISA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26908 DETROIT RD, SUITE 200, WESTLAKE, OH 44145-2398
(440) 250-8660
(440) 250-8639
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
244156
OH
363LG0600X
Gerontology Nurse Practitioner
244156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112414
—
OH
Enumeration date
09/29/2014
Last updated
11/20/2020
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