Provider Demographics
NPI:1265050181
Name:BROWN, LAUREN MORIAH
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MORIAH
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 1:112 FRANCIS MARION DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-6628
Mailing Address - Country:US
Mailing Address - Phone:828-639-9018
Mailing Address - Fax:
Practice Address - Street 1:820 WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7618
Practice Address - Country:US
Practice Address - Phone:910-392-3110
Practice Address - Fax:910-762-1791
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2911363LF0000X
NC5013874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily