Individual
MALLARIE LAURISSA PAIGE ROSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2350 REGENCY RD STE A, LEXINGTON, KY 40503-2351
(859) 278-4960
(859) 278-0033
Mailing address
2350 REGENCY RD STE A, LEXINGTON, KY 40503-2351
(859) 278-4960
(859) 278-0033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3698
KY
Other
Enumeration date
12/16/2024
Last updated
09/30/2025
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