Individual
LACHAE MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7371 LAKE RD, CHIPPEWA LAKE, OH 44215-9702
(330) 329-7540
Mailing address
7371 LAKE RD, CHIPPEWA LAKE, OH 44215-9702
(330) 304-7961
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147443
—
OH
Enumeration date
11/11/2016
Last updated
08/08/2025
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