Provider Demographics
NPI:1093092967
Name:BROWN, MICHELLE LYNN LEMKE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYNN LEMKE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:LYNN
Other - Last Name:LEMKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16635 54TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3837
Mailing Address - Country:US
Mailing Address - Phone:262-716-3668
Mailing Address - Fax:
Practice Address - Street 1:6975 YORK AVE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2517
Practice Address - Country:US
Practice Address - Phone:952-920-3561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist