Individual
LAUREN ELROD ROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 VERDAE BLVD # 200, GREENVILLE, SC 29607-4021
(864) 220-1110
(864) 220-1104
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3160
SC
363AM0700X
Medical Physician Assistant
8347-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100322201
—
WI
Enumeration date
01/13/2016
Last updated
08/25/2025
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