Individual
DR. LAURA LOU BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, PEDIATRIC RESIDENCY PROGRAM, PRIMARY CHILDREN'S MEDICAL, SALT LAKE CITY, UT 84113-1103
(801) 662-5700
Mailing address
PO BOX 393, ENFIELD, NH 03748-0393
(209) 840-9301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8771435-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2012
Last updated
11/11/2021
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