Provider Demographics
NPI:1750727558
Name:BROWN, LACHONE VENUS
Entity type:Individual
Prefix:
First Name:LACHONE
Middle Name:VENUS
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 1:5022 ROSELD CT
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2664
Mailing Address - Country:US
Mailing Address - Phone:240-433-2175
Mailing Address - Fax:
Practice Address - Street 1:1836 TUBMAN RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2851
Practice Address - Country:US
Practice Address - Phone:240-433-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
DC$$$$$$$$$3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant