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Individual

LAUREN ROSE ROGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
270 E. STATE ST., STE. 240, ALLIANCE, OH 44601-4369
(330) 596-6560
(330) 596-6575
Mailing address
270 E. STATE ST., STE. 240, ALLIANCE, OH 44601-4369
(330) 596-6560
(330) 596-6575

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3382
OH
363A00000X
Physician Assistant
Primary
50-003382
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122854
OH
Enumeration date
10/28/2011
Last updated
12/12/2016
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