Provider Demographics
NPI:1548239130
Name:BROWN, LYNN D (PA)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1009 WINDCROSS CT
Mailing Address - Street 2:STE 101
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2678
Mailing Address - Country:US
Mailing Address - Phone:615-224-5438
Mailing Address - Fax:888-882-3919
Practice Address - Street 1:3803 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2593
Practice Address - Country:US
Practice Address - Phone:336-402-1596
Practice Address - Fax:888-882-3919
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2015-04-22
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Provider Licenses
StateLicense IDTaxonomies
NC101804363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2746003GMedicare PIN
S48395Medicare UPIN
NC2746003FMedicare PIN