Provider Demographics
NPI:1154494656
Name:ARMSTRONG-BROWDER, LAVONDA (MD)
Entity Type:Individual
Prefix:
First Name:LAVONDA
Middle Name:
Last Name:ARMSTRONG-BROWDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 W HURON ST
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1601
Mailing Address - Country:US
Mailing Address - Phone:248-857-7036
Mailing Address - Fax:248-857-6966
Practice Address - Street 1:461 W HURON ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1601
Practice Address - Country:US
Practice Address - Phone:248-857-7036
Practice Address - Fax:248-857-6966
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301051258207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE95577Medicare UPIN