Provider Demographics
NPI:1689790446
Name:BROWNLEE, SONJA O (MD)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:O
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:BROWNLEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 5662
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89802-5662
Mailing Address - Country:US
Mailing Address - Phone:775-778-6762
Mailing Address - Fax:775-778-6767
Practice Address - Street 1:1825 PINION RD
Practice Address - Street 2:SUITE E
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8318
Practice Address - Country:US
Practice Address - Phone:775-778-6762
Practice Address - Fax:775-778-6767
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8617208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics