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Individual

MS. LAURIE M BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
850 HARRISON AVE, YACC 4, BOSTON, MA 02118-4001
(617) 414-2080
(617) 414-2090
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-4001

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213514
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110074479A
MA
01
213514
LICENSE
MA
Enumeration date
10/17/2006
Last updated
05/05/2014
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