Provider Demographics
NPI:1336419423
Name:BROWN, MARION LOIS (DO)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:LOIS
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 1:240 APPLEWOOD DRIVE
Mailing Address - Street 2:UNIT #3
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837
Mailing Address - Country:US
Mailing Address - Phone:570-713-4433
Mailing Address - Fax:
Practice Address - Street 1:240 APPLEWOOD DR
Practice Address - Street 2:UNIT #3
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6203
Practice Address - Country:US
Practice Address - Phone:570-713-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-003903-L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology