Individual
LARRY BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(409) 225-7644
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(409) 225-7644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
08/02/2022
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