Individual
LOLA ANNA BROWN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 DAKOTA AVE N, MADDOCK, ND 58348-7200
(701) 351-1594
Mailing address
122 DAKOTA AVE N, MADDOCK, ND 58348-7200
(701) 351-1594
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1451575
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451575
—
ND
Enumeration date
11/20/2020
Last updated
11/20/2020
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