Provider Demographics
NPI:1780147231
Name:BROWNE, LA'RON (MD)
Entity type:Individual
Prefix:MISS
First Name:LA'RON
Middle Name:
Last Name:BROWNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LA'RON
Other - Middle Name:
Other - Last Name:BROWNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1611 NW 12 AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:784-454-3863
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12 AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-355-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2019-12-20
Deactivation Date:2019-11-27
Deactivation Code:
Reactivation Date:2019-12-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program