Individual
LAUREN MARISSA RITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4790 S CALLE SANTA CRUZ, TUCSON, AZ 85714-0007
(843) 884-8045
Mailing address
4790 S CALLE SANTA CRUZ, TUCSON, AZ 85714-0007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
010492
AZ
208800000X
Urology Physician
39376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393764
—
SC
Enumeration date
06/20/2011
Last updated
09/23/2024
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