Individual
LAWRENCE E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6533 W EMERALD ST, BOISE, ID 83704-8737
(208) 367-4170
(208) 367-8135
Mailing address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 377-5055
(208) 377-5335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6137
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
TAXONOMY
ID
Enumeration date
06/12/2006
Last updated
10/10/2012
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