Provider Demographics
NPI:1508010539
Name:BROWN, LYNNETTE (MD MPH)
Entity Type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 W ROLLING CROSS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-6280
Mailing Address - Country:US
Mailing Address - Phone:410-869-0100
Mailing Address - Fax:410-601-7317
Practice Address - Street 1:4 W ROLLING CROSS RD STE 100
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-6280
Practice Address - Country:US
Practice Address - Phone:410-869-0100
Practice Address - Fax:410-601-7317
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL31196207R00000X
NMMD2022-0175207R00000X, 2083X0100X
MDD765372083X0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine