Individual
DR. ELIZABETH LANTZ BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4607 MACCORKLE AVE SW, SUITE 200, SOUTH CHARLESTON, WV 25309-1364
(304) 414-2140
(304) 250-9941
Mailing address
4607 MACCORKLE AVE SW, SUITE 200, SOUTH CHARLESTON, WV 25309-1364
(304) 414-2140
(304) 250-9941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20430
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803923000
—
WV
Enumeration date
05/16/2006
Last updated
08/16/2016
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