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Individual

DR. LISA MARIE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, DNP, CRNA

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5140
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041394016
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209020304
IL

Other

Enumeration date
10/25/2019
Last updated
04/01/2021
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