Provider Demographics
NPI:1912123852
Name:BROWN, LAURA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 ALTO ST
Mailing Address - Street 2:LA FAMILIA MEDICAL CENTER- HEALTHCARE FOR THE HOMELESS
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501
Mailing Address - Country:US
Mailing Address - Phone:505-988-1742
Mailing Address - Fax:505-988-2184
Practice Address - Street 1:818 CAMINO SIERRA VISTA
Practice Address - Street 2:LA FAMILIA MEDICAL CENTER-HEALTHCARE FOR THE HOMELESS
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505
Practice Address - Country:US
Practice Address - Phone:505-988-1742
Practice Address - Fax:505-988-2184
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM99169207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine