Individual
LORI BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Mailing address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0077043
OK
Other
Enumeration date
02/19/2015
Last updated
02/25/2015
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