Individual
LAUREN LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 532-7179
Mailing address
1488 JESSE JEWELL PKWY SE STE 201, GAINESVILLE, GA 30501-3803
(770) 532-7179
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10596
GA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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