Provider Demographics
NPI:1033238829
Name:BROWN, DOROTHY (LAC MAC DIPLAC DIPLC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LAC MAC DIPLAC DIPLC
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3930 KNOWLES AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2428
Mailing Address - Country:US
Mailing Address - Phone:301-949-5570
Mailing Address - Fax:
Practice Address - Street 1:3930 KNOWLES AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2428
Practice Address - Country:US
Practice Address - Phone:301-949-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDV00401171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52427101BB48OtherBCBS