Laquanda Brown
Individual provider Active NPI Homemaker · Wauwatosa, WI
NPI 1316729049 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1316729049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 12201 W North Ave Ste 102C
Wauwatosa, WI 53226-2061 - Phone
- (414) 369-1086
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
12201 W North Ave Ste 102C
Wauwatosa, WI 53226-2061
Mailing address
12201 W North Ave Ste 102C
Wauwatosa, WI 53226-2061
Phone (414) 369-1086
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.