Provider Demographics
NPI:1275525792
Name:BROWN, RENEE LASHAWN (DENTAL HYGIENIST)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:LASHAWN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 BEACH HAVEN COVE DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-2778
Mailing Address - Country:US
Mailing Address - Phone:850-453-9656
Mailing Address - Fax:
Practice Address - Street 1:USS ENTERPRISE CVN 65
Practice Address - Street 2:BOX 68
Practice Address - City:FPO
Practice Address - State:FL
Practice Address - Zip Code:09543-2810
Practice Address - Country:US
Practice Address - Phone:757-534-1319
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist