Provider Demographics
NPI:1942733985
Name:BROWN, LYUDMILA G (ACNP)
Entity type:Individual
Prefix:
First Name:LYUDMILA
Middle Name:G
Last Name:BROWN
Suffix:
Gender:F
Credentials:ACNP
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Mailing Address - Street 1:12309 CLAPBOARD BLUFF TRL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-2494
Mailing Address - Country:US
Mailing Address - Phone:918-361-9341
Mailing Address - Fax:
Practice Address - Street 1:4540 SOUTHSIDE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-5488
Practice Address - Country:US
Practice Address - Phone:904-503-1065
Practice Address - Fax:904-374-6075
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2025-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11011770207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma