Individual
LAURIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6805 SQUAW CREEK RD, JACKSON, WY 83001-8888
(307) 690-8378
Mailing address
PO BOX 1481, WILSON, WY 83014-1481
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
16971
WY
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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