Provider Demographics
NPI:1720312358
Name:BROWN, METZIE DUNN (LOTR)
Entity Type:Individual
Prefix:MRS
First Name:METZIE
Middle Name:DUNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:MRS
Other - First Name:MITZEL
Other - Middle Name:RENAIL
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LOTR
Mailing Address - Street 1:6634 MARIGNY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-4332
Mailing Address - Country:US
Mailing Address - Phone:504-239-1060
Mailing Address - Fax:
Practice Address - Street 1:6634 MARIGNY ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-4332
Practice Address - Country:US
Practice Address - Phone:504-239-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ10556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist