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Individual

LAURA E ROUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8200 DODGE STREET, CHILDREN'S HOSPITAL & MEDICAL CENTER - NEUROLOGY, OMAHA, NE 68114-4113
(402) 955-5372
(402) 955-5380
Mailing address
8200 DODGE STREET, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113
(402) 955-5400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1036
NE

Other

Enumeration date
05/01/2009
Last updated
05/01/2009
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