Basic Information
| Provider Information | |||||||||
| NPI: | 1912123852 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1035 ALTO ST | ||||||||
| Address2: | LA FAMILIA MEDICAL CENTER- HEALTHCARE FOR THE HOMELESS | ||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 87501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059881742 | ||||||||
| FaxNumber: | 5059882184 | ||||||||
| Practice Location | |||||||||
| Address1: | 818 CAMINO SIERRA VISTA | ||||||||
| Address2: | LA FAMILIA MEDICAL CENTER-HEALTHCARE FOR THE HOMELESS | ||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 87505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059881742 | ||||||||
| FaxNumber: | 5059882184 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 11/29/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 99169 | NM | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.