Brown, Marissa Lyn

Brown, Marissa Lyn is an individual health care provider with primary practice located at 250 Travelodge Drive , El Cajon CA 92020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brown, Marissa Lyn can be contacted via phone (619) 528-5000.

Contact Information

Primary practice address
250 Travelodge Drive El Cajon CA 92020
Phone: (619) 528-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 207ZP0102X Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A142166 California

Profile Details

NPI number 1457616997
LBN Legal business name Brown, Marissa Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Dec 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457616997 NPPES
Arizona Other R73474 TRAINING PERMIT

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