Provider Demographics
NPI:1285274605
Name:BROWN, LAUREN JOY (PA-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JOY
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-202-4900
Mailing Address - Fax:501-202-4915
Practice Address - Street 1:9500 KANIS RD STE 330
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6339
Practice Address - Country:US
Practice Address - Phone:501-202-4900
Practice Address - Fax:501-202-4915
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2023-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARPA-881363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant