Individual
STACEY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 METAIRIE RD, 106, METAIRIE, LA 70005-4333
(504) 835-7554
Mailing address
433 METAIRIE RD, 106, METAIRIE, LA 70005-4333
(504) 835-7554
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7782
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
NPI NUMBER NEEDED
LA
Enumeration date
12/23/2014
Last updated
12/23/2014
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