Individual
LORI CAROL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
201 W SWITZLER STREET, SUITE 1, CENTRALIA, MO 65240
(573) 682-5864
(573) 682-1544
Mailing address
201 W SWITZLER STREET, SUITE 1, CENTRALIA, MO 65240
(573) 682-5864
(573) 682-1544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200302
BC/BS
MO
01
—
691497
ACN GROUP UNITED HEALTH C
—
01
—
714796
HEALTHLINK
—
01
—
DD9062
RAILROAD MEDICARE PALMETT
MO
Enumeration date
08/27/2006
Last updated
07/08/2007
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