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Individual
LAUREN ROTHE
Active
Individual
LAUREN ROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP126758
TX
2083P0901X
Public Health & General Preventive Medicine Physician
AP126758
TX
208D00000X
General Practice Physician
AP126758
TX
363LF0000X
Family Nurse Practitioner
Primary
AP126758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017801401
—
TX
05
—
063389301
—
TX
05
—
083850001
—
TX
01
—
87V600
BCBS
TX
01
—
87V601
BCBS
TX
01
—
AP126758
TEXAS STATE LICENSE
TX
Enumeration date
10/27/2014
Last updated
10/27/2014
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