| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LA'TIA BROWN | 1528794575 | 2022-07-30 |
La'tia Brown is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528794575. Registration indicates La'tia Brown is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | La'tia Brown |
| Practice Office Address | 1730 ALSTON ST SHREVEPORT, LA US |
| Practice Office Telephone | 3186384619 |
| Mailing Address | 1730 ALSTON ST SHREVEPORT, LA 711012343 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |