Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 3534001204 | UT |
Y | 2080P0204X | Pediatric Emergency Doctor | 53135 | WI |
NPI | 1093868796 |
---|---|
Provider Name | Dr. Lorin R Browne |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 11/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093868796 | (05) | WI |
I68940 | (02) |