Provider Demographics
NPI:1114597242
Name:BROWN, COREY LAMONT JR (ACUPUNCTURIST, DAOM)
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:LAMONT
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:ACUPUNCTURIST, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4800 E CHERRY CREEK SOUTH DR APT H100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-7844
Mailing Address - Country:US
Mailing Address - Phone:720-443-0316
Mailing Address - Fax:
Practice Address - Street 1:2121 S ONEIDA ST STE 150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2500
Practice Address - Country:US
Practice Address - Phone:720-443-0316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002684171100000X
COACU.0002684171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist