Individual
DR. LANIECE J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
CAMPUS BOX 2660, NORMAL, IL 61790-2660
(309) 438-2000
Mailing address
2000 N LINDEN ST APT K102, NORMAL, IL 61761-5324
(908) 721-2056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.016140
IL
2255A2300X
Athletic Trainer
AT9065
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/07/2019
Last updated
09/11/2025
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