Organization
LORIN M. BROWN, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA NEIS (MED ASSISSTANT)
(219) 924-6544
Entity
Organization
Contact information
Practice address
1950 45TH AVE, SUITE 200, MUNSTER, IN 46321-3917
(219) 924-6544
(219) 922-8502
Mailing address
1950 45TH AVE, SUITE 200, MUNSTER, IN 46321-3917
(219) 924-6544
(219) 922-8502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000008919
ANTHEM BCBS
IN
Enumeration date
01/09/2007
Last updated
10/04/2007
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