Provider Demographics
NPI:1851170484
Name:BROWN, LAURYN EUNICE
Entity Type:Individual
Prefix:
First Name:LAURYN
Middle Name:EUNICE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-2946
Mailing Address - Country:US
Mailing Address - Phone:301-857-9597
Mailing Address - Fax:
Practice Address - Street 1:3505 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-2946
Practice Address - Country:US
Practice Address - Phone:301-857-9597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401212796251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health