NPI
Lacey Raye Brown
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2026-01-21
- Last updated
- 2026-01-21
Specialties
Licenses
- License MN
- 31191
Location
- Practice location
- 200 4th Ave W
- City
- Shakopee MN
- Postal code
- 55379-1220
- Phone
- (952) 496-8907
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Shakopee, MN. 899 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.