Individual
LORI ELLEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 687-9974
Mailing address
4397 OLD WEST AVENUE, WINDSOR, ONTARIO N9G 2-W9
(519) 566-5593
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704191782
MI
Other
Enumeration date
06/24/2014
Last updated
04/05/2021
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