Provider Demographics
NPI:1982675849
Name:BROWN, LEE ANN (DO)
Entity Type:Individual
Prefix:
First Name:LEE ANN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28050 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2634
Mailing Address - Country:US
Mailing Address - Phone:727-210-2225
Mailing Address - Fax:727-386-4198
Practice Address - Street 1:28050 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2634
Practice Address - Country:US
Practice Address - Phone:727-210-2225
Practice Address - Fax:727-386-4198
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8625208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation