Individual
DR. LAUREN ASHLEY ROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071008789
IL
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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