Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 01062184A | IN |
N | 208600000X | Surgeon | 01062184A | IN |
N | 2086S0120X | Pediatric Surgery | 01062184A | IN |
N | 2086S0120X | Pediatric Surgery | 12633 | ND |
Y | 2086S0120X | Pediatric Surgery | 35.064107 | OH |
N | 2086S0120X | Pediatric Surgery | 35459 | KY |
NPI | 1295787596 |
---|---|
Provider Name | Dr. Rebeccah Lanan Brown |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 03/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200242490 | (05) | IN |
F68808 | (02) |