Provider Demographics
NPI:1295498806
Name:BROWN, CORINNE (DACM, LAC)
Entity type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 WABASH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-5420
Mailing Address - Country:US
Mailing Address - Phone:412-458-1226
Mailing Address - Fax:
Practice Address - Street 1:42 WABASH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-5420
Practice Address - Country:US
Practice Address - Phone:412-458-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000310171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist