Provider Demographics
NPI:1548398118
Name:BROWN, LISA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE
Last Name:BROWN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2315 STOCKTON BLVD- DEPARTMENT OF SURGERY
Mailing Address - Street 2:NAOB, SUITE 6122
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-3447
Mailing Address - Fax:916-734-3066
Practice Address - Street 1:2221 STOCKTON BLVD
Practice Address - Street 2:SUITE 2112
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-3861
Practice Address - Fax:916-734-3066
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2020-09-14
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Provider Licenses
StateLicense IDTaxonomies
CAA98718208600000X, 2086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery