Individual
MRS. LOIS JEAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8575 IVOR RD, PO BOX 210, IVOR, VA 23866
(757) 859-6161
(757) 859-6452
Mailing address
PO BOX 210, IVOR, VA 23866-0210
(757) 859-6161
(757) 859-6452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024109487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003971
—
NC
05
—
7783523
—
VA
01
—
P00127832
RAILROAD MEDICARE
VA
Enumeration date
04/08/2006
Last updated
04/16/2024
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