Provider Demographics
NPI:1093747685
Name:BROWN, LISA A (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8017 SW 90TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-6223
Mailing Address - Country:US
Mailing Address - Phone:352-495-9921
Mailing Address - Fax:
Practice Address - Street 1:2000 SW ARCHER RD
Practice Address - Street 2:DEPT. HEM/ONC
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0383
Practice Address - Country:US
Practice Address - Phone:352-265-0111
Practice Address - Fax:352-265-8404
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS