Provider Demographics
NPI:1013706837
Name:BROWN, LAUREN MILLER (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MILLER
Last Name:BROWN
Suffix:
Gender:
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SOUTHERN HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-5044
Mailing Address - Country:US
Mailing Address - Phone:415-990-8708
Mailing Address - Fax:
Practice Address - Street 1:210 SOUTHERN HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-5044
Practice Address - Country:US
Practice Address - Phone:415-990-8708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula