Individual
JENIFER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
96621
OK
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-96191
OK
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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