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Individual

MS. LAURA ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
25255 CABOT RD STE 101, LAGUNA HILLS, CA 92653-5507
(949) 698-9000
Mailing address
25255 CABOT RD STE 101, LAGUNA HILLS, CA 92653-5507
(949) 698-9000

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
654381
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427779719
CA
Enumeration date
11/21/2022
Last updated
11/21/2022
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