Provider Demographics
NPI:1336525922
Name:BROWN, LERSHONITER (LVN)
Entity Type:Individual
Prefix:
First Name:LERSHONITER
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4014 WILBURN RANCH DR
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77523-4208
Mailing Address - Country:US
Mailing Address - Phone:225-806-4222
Mailing Address - Fax:
Practice Address - Street 1:4014 WILBURN RANCH DR
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-4208
Practice Address - Country:US
Practice Address - Phone:225-806-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233278164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse