Provider Demographics
NPI:1093014359
Name:BROWN, LAKIA S (DC)
Entity Type:Individual
Prefix:DR
First Name:LAKIA
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-0365
Mailing Address - Country:US
Mailing Address - Phone:219-544-5665
Mailing Address - Fax:219-209-5455
Practice Address - Street 1:7895 BROADWAY STE E
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5529
Practice Address - Country:US
Practice Address - Phone:219-544-5665
Practice Address - Fax:219-209-5455
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002852A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor