Brown, Lisa

Brown, Lisa is an individual health care provider with primary practice located at 5150 Cascade Rd Se Suite B, Grand Rapids MI 49546-3794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brown, Lisa can be contacted via phone (616) 940-3168.

Contact Information

Primary practice address
5150 Cascade Rd Se Suite B Grand Rapids MI 49546-3794
Fax: (616) 940-3352
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301068917 Michigan

Profile Details

NPI number 1427164540
LBN Legal business name Brown, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Apr 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427164540 NPPES
Michigan Other 350D16208 BCBS
Michigan MEDICAID 3284355 BCBS

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