Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | AP01248 | LA |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP01248 | LA |
NPI | 1174737191 |
---|---|
Provider Name | Mrs. Lee Godwin Brown |
First Address | Baton Rouge, LA 70817-5128 |
Second Address | Baton Rouge, LA 70817-5128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 05/03/2013 |