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Individual

LUCINDA M BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
860 OMNI BLVD STE 110, NEWPORT NEWS, VA 23606
(757) 232-9794
Mailing address
860 OMNI BLVD STE 303, NEWPORT NEWS, VA 23606-4477
(757) 232-8769
(757) 232-8875

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
WV39836
WV
176B00000X
Midwife
Primary
0024168981
VA
176B00000X
Midwife
42
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001892715
BCBS
WV
05
0159868000
WV
01
BRNM00374
MEDICARE PIN (PMMG)
WV
01
PR9255724
MEDICARE PMMG GROUP
WV
01
WV39836
HEALTH PLAN
WV
Enumeration date
07/25/2006
Last updated
06/19/2018
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