Individual
MR. GARY LANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
4570 BLUEBONNET BLVD, BATON ROUGE, LA 70809-5603
(225) 298-3223
Mailing address
26138 MYRTLEWOOD CT, DENHAM SPRINGS, LA 70726-6583
(225) 243-5535
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
06LA1227
LA
Other
Enumeration date
09/30/2011
Last updated
08/02/2019
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