Wilson-Brown, Laura L

Wilson-Brown, Laura L is an individual health care provider with primary practice located at 7309 N Knoxville Ave , Peoria IL 61614-2085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson-Brown, Laura L can be contacted via phone (309) 692-9898.

Contact Information

Primary practice address
7309 N Knoxville Ave Peoria IL 61614-2085
Phone: (309) 692-9898
Fax: (309) 692-9055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003443 Illinois

Profile Details

NPI number 1942441225
LBN Legal business name Wilson-Brown, Laura L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Nov 7th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942441225 NPPES
Illinois Other 085003443 LICENSE

Popular Providers