Provider Demographics
NPI:1922431196
Name:BROWN, LEKIDRA M (NP)
Entity type:Individual
Prefix:
First Name:LEKIDRA
Middle Name:M
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 SHEPPARD ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-3460
Mailing Address - Country:US
Mailing Address - Phone:318-377-7116
Mailing Address - Fax:318-377-9979
Practice Address - Street 1:1232 SHEPPARD ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3460
Practice Address - Country:US
Practice Address - Phone:318-377-7116
Practice Address - Fax:318-377-9979
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07518363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics