Individual
LAUREL ROSE PERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2000
Mailing address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML60759504
WA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
V3411
TX
Other
Enumeration date
03/28/2017
Last updated
09/09/2024
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